9 results
Syncope Diagnostic Testing and Evaluation: Cost Effectiveness
Frequency obtained - Abnormal findings - Helped determine etiology of
Syncope Diagnostic Testing ... ECG, Telemetry, Cardiac ... /S, EEG, Brain MRI ... , Cardiac stress ... #table #comparison
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
Syncope Cost-Effectiveness Workup
Cost-effective tests for most patients: 
 • Orthostatic BP
 • ECG
 • Telemetry (if
Carotid US • Brain MRI ... • EEG • Cardiac ... stress testing ... • Cardiac Enzymes ... diagnosis #workup #testing
Bedside Classification of Shock

Hypovolemic shock 

- Vomiting, diarrhea, overdiuresis 

- Hemorrhage (GI, peritoneal, RP) 

Distributive shock
Anaphylaxis - Post-cardiac ... Endocarditis - Post-MI ... Cardiogenic #Comparison #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 ... pancreatitis, post-cardiac ... Renal Losses(salt-wasting
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
exam Determine Cardiac ... they have one post ... surgery Stress Testing ... postoperative cardiac ... preoperative stress testing
Scleroderma Like Conditions - Differential Diagnosis
Eosinophilic Fasciitis:
 - Orange peel induration (peau d'orange) of proximal extremities
contractures and/or cardiac ... therefore occur in the setting ... Chronic Graft-Versus-Host ... immunocompromised host ... Diagnosis #comparison #table
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
ancestry, LGE on MRI ... and timing with Cardio-OB ... during Delivery • Stable ... products early post-partum ... follow-up with Cardio-OB
Intraoperative Cardiac Free Wall Rupture
Free wall rupture...yes we can save them
Following a syncope event, a 72-y
Intraoperative Cardiac ... brought to the ER, stable ... no history of cardiac ... MI free wall rupture ... Intraoperative #Cardiac