10 results
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
ISCHEMIA Trial - Management Algorithm for patients with Stable Angina

Stress Test -> ? +moderate or severe
patients with Stable ... Angina Stress ... LMCA lesion -> Cardiac ... Catheterization ... #ISCHEMIA #Stable
Inpatient Cath Lab Indications
Cath Lab ASAP:
STEMI
NSTEMI:
1. Unstable/cardiogenic shock
2. Severe LV dysfunction or
3. Recurrent/persistent rest angina despite
New/worsening MR ... Rx: NSTEMI/UA: stable ... #Indications #Cardiac ... #catheterization
Aortic Dissection Pearls
Aortic dissection is caused by a tear in the tunica intima, the innermost layer
at onset • Tearing ... disease • Cardiac ... surgery/catheterization ... reduce aortic wall stress
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
exam Determine Cardiac ... to determine if stress ... Testing: • Preoperative ... postoperative cardiac ... testing may inform
Syncope Cost-Effectiveness Workup
Cost-effective tests for most patients: 
 • Orthostatic BP
 • ECG
 • Telemetry (if
Carotid US • Brain MRI ... • EEG • Cardiac ... stress testing ... • Cardiac Enzymes ... diagnosis #workup #testing
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
infarction • Stress ... factors + oxidative stress ... ancestry, LGE on MRI ... and timing with Cardio-OB ... follow-up with Cardio-OB
Algorithm for choosing the appropriate candidate for stress testing in patients with suspected coronary artery disease
candidate for stress ... testing in patients ... (MI = myocardial ... evaluation of stable
Intraoperative Cardiac Free Wall Rupture
Free wall rupture...yes we can save them
Following a syncope event, a 72-y
Intraoperative Cardiac ... brought to the ER, stable ... no history of cardiac ... the OR for post MI ... repaired using felt strips