11 results
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Myocarditis Diagnosis ... Cardiovascular MRI ... • Cardiogenic shock ... , sudden cardiac ... #Management #Cardiology
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
Pulse Abnormalities - Differential Diagnosis Algorithm
Unequal/DeIayed:
 • Obstructive arterial disease (ie. Atherosclerosis)
 • Aortic dissection
 •
Algorithm Unequal ... beats: • Left heart ... pressure >10mmHg: • Cardiac ... • Hypovolemic shock ... Abnormalities #Disorders #Cardiology
Cardiac Murmurs and Maneuvers

An algorithm demonstrating the effect of various maneuvers on systolic murmurs. 
TR, tricuspid
Cardiac Murmurs ... Maneuvers An algorithm ... Murmurs #Maneuvers #Heart ... #Cardiology #PhysicalExam ... #Diagnosis
Restrictive Cardiomyopathy - Diagnosis and Causes
Clinical: Dyspnea, Exercise Intolerance, ↑ "Right Sided-Symptoms" (ascites, hepatomegaly, ↑↑peripheral edema)
Physical
Cardiomyopathy - Diagnosis ... MRI, Cardiac Catheterization ... Endomyocardial: Carcinoid Heart ... #differential #cardiology ... #algorithm
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
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 ... #management #cardiology
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 ... #diagnosis #algorithm
Perhaps quite too often, the knee-jerk reaction to an elevated Troponin is to call our friends
of the resting cardiac ... (Sepsis, Shock, ... are typically able ... #diagnosis #management ... l#foamed #algorithm
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
Decompensated Heart ... essentially Cardiogenic Shock ... #algorithm #management ... #cardiology #treatment ... #table #foamed