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diagnosis cardiology criticalcare management shock differential treatment algorithm clinical comparison workup classification cost effectiveness foamed syncope abcdes cardiomyopathy cardiothoracic catheterization
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 ... COREIMpodcast #Cardiac ... #Stress #Testing
Inpatient Cath Lab Indications Cath Lab ASAP: STEMI NSTEMI: 1. Unstable/cardiogenic shock 2. Severe LV dysfunction or 3. Recurrent/persistent rest angina despite
Inpatient Cath Lab ... Unstable/cardiogenic ... New/worsening MR ... Rx: NSTEMI/UA: stable ... #Indications #Cardiac
SCAI Pyramid of Cardiogenic Shock Classification E - Extremis - A patient experiencing cardiac arrest with ongoing
SCAI Pyramid of Cardiogenic ... - Extremis - A patient ... experiencing cardiac ... category C but getting ... SCAI #Pyramid #Cardiogenic
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
Approach to Undifferentiated Shock - OnePager Summary Shock occurs when there is inadequate blood flow (CO) &
4 categories: cardiogenic ... Problem (↓ CO): • CARDIOGENIC ... Pneumothorax, Cardiac ... pancreatitis, post-cardiac ... Renal Losses(salt-wasting
Pulmonary Arterial Catheterization – Use and Interpretation: -Pulmonary arterial catheterization (PAC) has never been shown to improve
shown to improve patient-important ... those with severe cardiogenic ... hypertension or cardiac ... output (ie, cardiac ... #Differential #Table
Shock - Diagnosis and Management Summary • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
in rom - Patient ... dilated IVC - Cardiac ... resuscitation • Cardiogenic ... Shock - MI ... Cardiac surgery?
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
Does the patient ... Does the patient ... exam Determine Cardiac ... postoperative cardiac ... preoperative stress testing
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