25 results
PCI in Acute MI with Cardiogenic Shock. #EBM #Cardiology #CULPRITSHOCK #PCI #VisualAbstract #NEJM
PCI in Acute MI ... with Cardiogenic ... #EBM #Cardiology ... VisualAbstract #NEJM
Syncope Diagnostic Testing and Evaluation: Cost Effectiveness
Frequency obtained - Abnormal findings - Helped determine etiology of
Syncope Diagnostic Testing ... ECG, Telemetry, Cardiac ... /S, EEG, Brain MRI ... , Cardiac stress ... Effectiveness #table
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 ... #Stress #Testing ... #cardiology #management
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 ... Diagnosis #Causes #cardiology ... #MRI
Hypertrophic Cardiomyopathy (HOCM) - Diagnosis and Management
Diagnosis
 1. Wall thickness 215 mm (TTE/CT/MRI) 
 2. Absence
215 mm (TTE/CT/MRI ... Supportive: genetic testing ... , LGE on MRI) Four ... Prevent Sudden Cardiac ... Diagnosis #Management #Cardiology
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Cardiovascular MRI ... Elevated troponin • Cardiogenic ... shock, sudden cardiac ... Diagnosis #Management #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
SCAI Pyramid of Cardiogenic Shock Classification
E - Extremis - A patient experiencing cardiac arrest with ongoing
SCAI Pyramid of Cardiogenic ... patient experiencing cardiac ... category C but getting ... SCAI #Pyramid #Cardiogenic ... ABCDEs #diagnosis #cardiology
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
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
pressure, pallor Cardiogenic ... (Intra-cardiac ... failure, acute MI ... → tension PTX, cardiac ... Differential #Diagnosis #table