21 results
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
Ischemic Symptoms  EKG ... evidence of AMI (STEMI ... ultrasound and fluoroscopy ... Fick calculated cardiac ... IF LVEDP >15 or Cardiac
Left Main Coronary Artery Thrombus seen on Angiography

“Mother of all coronary thrombi”.  55 year old
Main Coronary Artery ... Anterior wall STEMI ... in Cardiogenic shock ... , ECG predicted ... #fluoroscopy
Pulmonary Arterial Catheterization – Use and Interpretation:
-Pulmonary arterial catheterization (PAC) has never been shown to improve
or the type of shock ... (eg, acute valvular ... artery hypertension ... artery occlusion ... #NormalValues #Differential
Focal Takotsubo Cardiomyopathy on Ventriculogram Angiography 

55 year old, severe chest pain after death of close
severe chest pain after ... close relative, ECG ... diagnosis was STEMI ... Angiogram #clinical #cardiology ... #cathlab #fluoroscopy
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Shock - Differential ... Diagnosis Framework ... • Obstructive: Pulmonary ... Pneumothorax, Cardiac ... ) UOP > 0.5 cc/kg
Right Heart Catheterization - Pulmonary Artery Pressures and Calculations
PULMONARY VASCULAR RESISTANCE = (meanPAP-PCWP) / CO
 •
Artery Pressures ... ARTERY PULSATILITY ... CARDIAC POWER OUTPUT ... much as 40% in cardiac ... #diagnosis #cardiology
Noncardiogenic Pulmonary Edema - Differential Diagnosis Framework

NCPE Pathophysiology:
Noncardiogenic pulmonary edema occurs because of excessive pulmonary capillary
Edema - Differential ... lack of acute cardiac ... level <100 pg/ml EKG ... ventricular function Pulmonary-Artery ... #diagnosis #cardiology
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
STEMI Equivalents ... at (or 40-60 ms after ... #EKG #diagnosis ... #differential # ... cardiology #electrocardiogram
Hemorrhagic Pericardial Effusions (Hemopericardium)- Differential Diagnosis Framework

IATROGENIC DISEASE
Secondary to invasive cardiac procedures

NONIATROGENIC
• Malignancy (e.g., metastatic spread:
Hemopericardium)- Differential ... Diagnosis Framework ... • Malignancy (e.g ... patients with pulmonary ... #Diagnosis #cardiology
Bradycardia - Differential Diagnosis Framework

BRADI Mnemonic
 • BRASH/Hyperkalemia
 • Reduced oxygen/Glucose/Temp
 • ACS
 • Drugs
 •
Bradycardia - Differential ... Diagnosis Framework ... blocking agent • Shock ... Hyperkalemia Pulmonary ... #cardiology #BRADI