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management criticalcare differential shock myocarditis algorithm catheterization clinical comparison foamed summary artery biopsy calculations cardiacmri cardiomyopathy catheter cathlab causes chf
Myocarditis - Diagnosis and Causes • Clinical presentation: Pseudo-acute coronary syndrome, Cardiac failure <3 rnonths, Cardiogenic
coronary syndrome, Cardiac ... failure <3 rnonths, Cardiogenic ... Troponin Increases, Cardiac ... #Causes #cardiology ... #MRI
Myocarditis Diagnosis • Endomyocardial biopsy (gold standard, rarely performed) • Clinical presentation • Cardiovascular MRI Clinical •
Myocarditis Diagnosis ... Cardiovascular MRI ... Elevated troponin • Cardiogenic ... shock, sudden cardiac ... #Management #Cardiology
Shock - Differential Diagnosis Framework MAP = CO x SVR Hypovolemic (↓ Intravascular volume): • Hemorrhage, dehydration due
- Differential Diagnosis ... pressure, pallor Cardiogenic ... failure, acute MI ... #Differential #Diagnosis ... #table #comparison
Bedside Classification of Shock Hypovolemic shock - Vomiting, diarrhea, overdiuresis - Hemorrhage (GI, peritoneal, RP) Distributive shock
Anaphylaxis - Post-cardiac ... Endocarditis - Post-MI ... #Distributive #Cardiogenic ... #Comparison #Table ... #Diagnosis #Features
Cardiac Stress Testing Exercise: • Everyone who can exercise should! • They must be able to raise
Cardiac Stress Testing ... • They must be able ... ($$$), PET CT/MRI ... COREIMpodcast #Cardiac ... Stress #Testing #cardiology
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
Myocarditis 5 Principles of Myocarditis: 1. Build clinical suspicion 2. Decide on EMBx 3. Manage acute cardiac injury 4. Manage chronic
Manage acute cardiac ... - Acute HF, Cardiogenic ... Low voltage Treatment ... #Myocarditis #diagnosis ... #management #cardiology
Approach to Undifferentiated Shock - OnePager Summary Shock occurs when there is inadequate blood flow (CO) &
essential to determine treatment ... 4 categories: cardiogenic ... Pneumothorax, Cardiac ... pancreatitis, post-cardiac ... Undifferentiated #Shock #diagnosis
Shock - Diagnosis and Management Summary • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... resuscitation • Cardiogenic ... Shock - MI ... Cardiac surgery? ... #criticalcare #treatment
Right Heart Catheterization - Pulmonary Artery Pressures and Calculations PULMONARY VASCULAR RESISTANCE = (meanPAP-PCWP) / CO •
mortality in inferior MI ... CARDIAC POWER OUTPUT ... much as 40% in cardiac ... artery #catheter #diagnosis ... #cardiology #swanganz
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