17 results
PCI in Acute MI with Cardiogenic Shock. #EBM #Cardiology #CULPRITSHOCK #PCI #VisualAbstract #NEJM
PCI in Acute MI ... with Cardiogenic Shock ... #EBM #Cardiology ... VisualAbstract #NEJM
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 ... Diagnosis #Management #Cardiology
Pulmonary Arterial Catheterization – Use and Interpretation:
-Pulmonary arterial catheterization (PAC) has never been shown to improve
or the type of shock ... severe cardiogenic shock ... output (ie, cardiac ... #Diagnosis #PACatheter ... #Differential #Table
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
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 #cardiology
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 #cardiology
Right Heart Catheterization - Pulmonary Artery Pressures and Calculations
PULMONARY VASCULAR RESISTANCE = (meanPAP-PCWP) / CO
 •
mortality in inferior MI ... CARDIAC POWER OUTPUT ... much as 40% in cardiac ... Catheterization #RHC #PACatheter ... #diagnosis #cardiology
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 ... CardiacMRI #clinical #cardiology
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 ... follow-up with Cardio-OB ... diagnosis #management #cardiology