8 results
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Myocarditis Diagnosis ... Cardiovascular MRI ... Elevated troponin • Cardiogenic ... shock, sudden cardiac ... Diagnosis #Management #Cardiology
Myocarditis - Diagnosis and Causes
 • Clinical presentation: Pseudo-acute coronary syndrome, Cardiac failure <3 rnonths, Cardiogenic
Myocarditis - Diagnosis ... coronary syndrome, Cardiac ... failure <3 rnonths, Cardiogenic ... Diagnosis #Causes #cardiology ... #MRI
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   • Trauma
Anaphylaxis - Spinal ... neurogenic shock) Cardiogenic ... contractility) - Acute MI ... any cause) - Myocarditis ... Classification #Table
Bedside Classification of Shock

Hypovolemic shock 

- Vomiting, diarrhea, overdiuresis 

- Hemorrhage (GI, peritoneal, RP) 

Distributive shock
Anaphylaxis - Post-cardiac ... infarction - Myocarditis ... Endocarditis - Post-MI ... #Distributive #Cardiogenic ... #Comparison #Table
Inpatient Cath Lab Indications
Cath Lab ASAP:
STEMI
NSTEMI:
1. Unstable/cardiogenic shock
2. Severe LV dysfunction or
3. Recurrent/persistent rest angina despite
Unstable/cardiogenic ... New/worsening MR ... Rx: NSTEMI/UA: stable ... #Indications #Cardiac ... catheterization #cardiology
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
fragment • Other: Myocarditis ... ancestry, LGE on MRI ... Minority of Pts: cardiogenic ... and timing with Cardio-OB ... diagnosis #management #cardiology
Yamaguchi cardiomyopathy on Echocardiogram (A4C)

ECG has been stable for years, she only feels unwell when in
ECG has been stable ... Cardiac MR shows ... no LGE and no apical ... Echocardiogram #A4C #apical ... hypertrophic #clinical #cardiology
Yamaguchi cardiomyopathy on Electrocardiogram (EKG)
That time when a doctor tells you that you're "having a heart
ECG has been stable ... Cardiac MR shows ... no LGE and no apical ... hypertrophic #clinical #cardiology