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cardiology criticalcare algorithm pharmacology treatment classification clinical differential foamed aortic artery calculations cardiogenic cardiomyopathy catheter chf clinica cold dissection distributive
Myocarditis Diagnosis • Endomyocardial biopsy (gold standard, rarely performed) • Clinical presentation • Cardiovascular MRI Clinical •
Myocarditis Diagnosis ... Cardiovascular MRI ... • Cardiogenic shock ... , sudden cardiac ... death Management
Shock and Vasoactive Drugs 1) Determine type and etiology of shock • Distributive: Sepsis, Anaphylaxis, Neurogenic
Cardiogenic: Acute MI ... , Acute Heart Failure ... #inopressors #diagnosis ... #management #comparison ... #table
Shock - Differential Diagnosis Framework MAP = CO x SVR Hypovolemic (↓ Intravascular volume): • Hemorrhage, dehydration due
Shock - Differential ... Diagnosis Framework ... failure): • Severe heart ... failure, acute MI ... #table #comparison
Bedside Classification of Shock Hypovolemic shock - Vomiting, diarrhea, overdiuresis - Hemorrhage (GI, peritoneal, RP) Distributive shock
Hypovolemic shock ... Anaphylaxis - Post-cardiac ... Endocarditis - Post-MI ... #Cardiogenic #Comparison ... #Table #Diagnosis
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 ... artery #catheter #diagnosis
Shock Classification Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
decompensated heart ... pneumothorax, cardiac ... Classification #Types #diagnosis ... #management #cold ... warm #wet #dry #table
Aortic Dissection Pearls Aortic dissection is caused by a tear in the tunica intima, the innermost layer
disease • Cardiac ... surgery/catheterization ... deficit • Shock ... opiates • Control heart ... #management #vascular
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 ... Delivery • Stable ... follow-up with Cardio-OB
Diuretics and Agents Regulating Renal Excretion Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide) • Glaucoma • Epilepsy • Altitude
disequilibrium syndrome • Diagnosis ... irrigation • Management ... • Bleeding • Cardiac ... • Hypovolemic shock ... #Medications #Table
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
Decompensated Heart ... essentially Cardiogenic Shock ... Cardiac cath if ... #algorithm #management ... cardiology #treatment #table
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