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diagnosis cardiology criticalcare treatment algorithm comparison pharmacology classification clinical differential foamed cardiogenic cardiomyopathy catheterization cathlab chf clinica cold distributive diuresis
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 •
Cardiovascular MRI ... • Cardiogenic shock ... , sudden cardiac ... death Management ... Myocarditis #Diagnosis #Management
Shock and Vasoactive Drugs 1) Determine type and etiology of shock • Distributive: Sepsis, Anaphylaxis, Neurogenic
Shock and Vasoactive ... and etiology of shock ... Cardiogenic: Acute MI ... inopressors #diagnosis #management ... #comparison #table
Shock - Diagnosis and Management Summary • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
and Management ... dilated IVC - Cardiac ... - MI, arrhythmia ... Cardiac surgery? ... #Diagnosis #Management
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
Shock Classification Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
shock. ... infarction, following cardiac ... pneumothorax, cardiac ... Types #diagnosis #management ... warm #wet #dry #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 ... Testing #cardiology #management
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
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
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
hemodynamics and cardiac ... essentially Cardiogenic Shock ... Cardiac cath if ... differential #algorithm #management ... cardiology #treatment #table
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