14 results
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
performed) • Clinical ... Cardiovascular MRI ... Clinical • ... • Cardiogenic shock ... , sudden cardiac
Restrictive Cardiomyopathy - Diagnosis and Causes
Clinical: Dyspnea, Exercise Intolerance, ↑ "Right Sided-Symptoms" (ascites, hepatomegaly, ↑↑peripheral edema)
Physical
Diagnosis and Causes Clinical ... Descents, Rales,+S4, MR ... Echocardiography, Cardiac ... MRI, Cardiac Catheterization ... Endomyocardial: Carcinoid Heart
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 shock ... New/worsening MR ... Rx: NSTEMI/UA: stable ... #Indications #Cardiac ... #catheterization
Right Heart Catheterization - Pulmonary Artery Pressures and Calculations
PULMONARY VASCULAR RESISTANCE = (meanPAP-PCWP) / CO
 •
Right Heart Catheterization ... mortality in inferior MI ... CARDIAC POWER OUTPUT ... much as 40% in cardiac ... #Catheterization
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
Shock - Differential ... failure): • Severe heart ... failure, acute MI ... uw_IMresidency #Shock ... Differential #Diagnosis #table
Approach to Undifferentiated Shock - OnePager Summary
Shock occurs when there is inadequate blood flow (CO) &
), LV Failure (MI ... Pneumothorax, Cardiac ... Obstruction (HOCM, critical ... pancreatitis, post-cardiac ... Losses (bums, heat
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
ancestry, LGE on MRI ... Pts: cardiogenic shock ... and timing with Cardio-OB ... during Delivery • Stable ... follow-up with Cardio-OB
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
Decompensated Heart ... hemodynamics and cardiac ... essentially Cardiogenic Shock ... Cardiac cath if ... cardiology #treatment #table
Perhaps quite too often, the knee-jerk reaction to an elevated Troponin is to call our friends
The heart consumes ... of the resting cardiac ... (Sepsis, Shock, ... are typically able ... echocardiogram #management #clinical
Perhaps quite too often, the knee-jerk reaction to an elevated Troponin is to call our friends
The heart consumes ... of the resting cardiac ... (Sepsis, Shock, ... are typically able ... management #cardiology #clinica