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diagnosis cardiology management algorithm clinical cost criticalcare effectiveness syncope workup angina aortic cardiothoracic cathlab chambers chestpain clinica comparison differential dissection
Interpreting Right Heart Catheterizations Always interpret a RHC based on the indication for getting the test. This
Interpreting Right Heart Catheterizations ... indication for getting ... Does the patient ... What is the cardiac ... #Right #Heart #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
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 ... New/worsening MR ... Rx: NSTEMI/UA: stable ... #Indications #Cardiac ... #catheterization
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
Pulmonary Arterial Catheterization – Use and Interpretation: -Pulmonary arterial catheterization (PAC) has never been shown to improve
Pulmonary Arterial Catheterization ... Pulmonary arterial catheterization ... shown to improve patient-important ... output (ie, cardiac ... #Differential #Table
ISCHEMIA Trial - Management Algorithm for patients with Stable Angina Stress Test -> ? +moderate or severe
patients with Stable ... making clear to patient ... LMCA lesion -> Cardiac ... Catheterization ... #ISCHEMIA #Stable
Aortic Dissection Pearls Aortic dissection is caused by a tear in the tunica intima, the innermost layer
dissection in any patient ... at onset • Tearing ... disease • Cardiac ... surgery/catheterization
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
Syncope Cost-Effectiveness Workup Cost-effective tests for most patients: • Orthostatic BP • ECG • Telemetry (if
Telemetry (if inpatient ... Carotid US • Brain MRI ... • EEG • Cardiac ... stress testing ... • Cardiac Enzymes
Perhaps quite too often, the knee-jerk reaction to an elevated Troponin is to call our friends
alterations in the setting ... only 5% of the resting ... cardiac output. ... are typically able ... conditions of the patient
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