18 results
Bedside Classification of Shock

Hypovolemic shock 

- Vomiting, diarrhea, overdiuresis 

- Hemorrhage (GI, peritoneal, RP) 

Distributive shock
Classification of Shock ... Hypovolemic shock ... Anaphylaxis - Post-cardiac ... Endocarditis - Post-MI ... Cardiogenic #Comparison #Table
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
performed) • Clinical ... Cardiovascular MRI ... Clinical • ... • Cardiogenic shock ... , sudden cardiac
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
Shock - Differential ... failure, acute MI ... → tension PTX, cardiac ... uw_IMresidency #Shock ... Differential #Diagnosis #table
Approach to Undifferentiated Shock - OnePager Summary
Shock occurs when there is inadequate blood flow (CO) &
), LV Failure (MI ... Valves (wide open MR ... Pneumothorax, Cardiac ... Obstruction (HOCM, critical ... pancreatitis, post-cardiac
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
Left Ventricular Hydatid Cyst on Cardiac MRI 

Illustrative Cardiac MRI image showing a large hydatid cyst
Hydatid Cyst on Cardiac ... MRI Illustrative ... Cardiac MRI image ... , anaphylactic shock ... LV #CardiacMRI #clinical
Intra-Aortic Thrombi on Cardiac MRI
4 intraaortic thrombi attached to the wall of the descending aorta,moving in
Intra-Aortic Thrombi on Cardiac ... MRI 4 intraaortic ... synchrony with cardiac ... Aorta #CardiacMRI #Clinical ... Sagittal #Mural #NEJM
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
ancestry, LGE on MRI ... Clinical • Under-recognized ... Pts: cardiogenic shock ... and timing with Cardio-OB ... follow-up with Cardio-OB
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
just simply a clinical ... hemodynamics and cardiac ... essentially Cardiogenic Shock ... Cardiac cath if ... cardiology #treatment #table
Mobile Aortic Thrombi - Gated aortic magnetic resonance imaging revealed four intraaortic thrombi (arrows) attached to
synchrony with the cardiac ... cycle #Clinical ... #Radiology #MRI ... MobileThrombi #NEJM