27 results
Myocarditis - Diagnosis and Causes
 • Clinical presentation: Pseudo-acute coronary syndrome, Cardiac failure <3 rnonths, Cardiogenic
ventricular arrythmia, syncope ... Paraclinical assessment: EKG ... Characteristic features ... #Causes #cardiology ... #MRI
Syncope is a sudden, transient loss of consciousness, which is thought to be secondary to cerebral
be divided into cardiac ... syncope, e.g., ... and an initial ECG ... In many cases, syncope ... The treatment strategy
Syncope Cost-Effectiveness Workup
Cost-effective tests for most patients: 
 • Orthostatic BP
 • ECG
 • Telemetry (if
specific high risk features ... indications: • Echocardiogram ... Carotid US • Brain MRI ... • EEGCardiac ... #diagnosis #workup
Arrhythmias - Differential Diagnosis Algorithm
May present as: palpitations, dizziness, syncope, chest discomfort
Cardiac Causes:
 - Structural
- Differential Diagnosis ... palpitations, dizziness, syncope ... chest discomfort Cardiac ... tissue (previous MI ... ) Non-Cardiac Causes
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Myocarditis Diagnosis ... Cardiovascular MRI ... gallop • Abnormal ECG ... , echocardiogram ... shock, sudden cardiac
Syncope - Differential Diagnosis Algorithm
Neurocardiogenic:
 • Vasovagal
 • Orthostatic Hypotension
 • Autonomic Neuropathy
 • Situational (micturition,
Syncope - Differential ... Diagnosis Algorithm ... • Migraine Cardiac ... Contractility: • MI ... #causes
WOBBLER  for ECG assessment in Syncope 
W - Wolff Parkinson White 
O - Obstructed AV
WOBBLER for ECG ... , can be caused ... associated with sudden cardiac ... #EKG #ECG #Diagnosis ... #Cardiology
Cardiac Stress Testing
Exercise:
 • Everyone who can exercise should!
 • They must be able to raise
Cardiac Stress Testing ... production to cause ... : EKG ($), ECHO ... ($$$), PET CT/MRI ... Stress #Testing #cardiology
Leukostasis vs Tumor Lysis Syndrome
Leukostasis:
 • Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
high WBC count cause ... tetany/cramps, syncope ... unless worrisome EKG ... features) - ... Syndrome #TLS #diagnosis
Pericarditis can be seen on EKG with diffuse ST elevations without reciprocal changes along with diffuse
can be seen on EKG ... often follows a URI ... First line treatment ... in refractory cases ... #Diagnosis #Signs