14 results
Syncope Diagnostic Testing and Evaluation: Cost Effectiveness
Frequency obtained - Abnormal findings - Helped determine etiology of
syncope Tests: ECG ... , Telemetry, Cardiac ... , Brain MRI, Cardiac ... Effectiveness #table ... #comparison
Yamaguchi cardiomyopathy on Electrocardiogram (EKG)
That time when a doctor tells you that you're "having a heart
Yamaguchi cardiomyopathy ... ECG has been stable ... Cardiac MR shows ... @the_gelf #Yamaguchi ... cardiomyopathy #ecg
Yamaguchi cardiomyopathy on Echocardiogram (A4C)

ECG has been stable for years, she only feels unwell when in
Yamaguchi cardiomyopathy ... Echocardiogram (A4C) ECG ... has been stable ... Cardiac MR shows ... @the_gelf #Yamaguchi
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Vasopressors Table 
Rough properties by Target Receptor, Heart Rate/Inotropy, Systemic Vascular Resistance, Cardiac Output, Blood Pressure,
Vasopressors Table ... Vascular Resistance, Cardiac ... Dobutamine 2-20 mcg ... Vasopressors #Properties #Table ... Effect #Management #Comparison
Main types of autoimmune encephalitis in the ICU. 
Anti-NMDAR anti-N-methyl-d-aspartate receptor, ADEM acute disseminated encephalomyelitis, Anti-GFAP
cerebrospinal fluid, MRI ... resonance imaging, EEG ... #encephalitis #comparison ... #table #neurology
Cardiac Stress Testing
Exercise:
 • Everyone who can exercise should!
 • They must be able to raise
Cardiac Stress Testing ... • They must be able ... arrythmias Diagnostics: EKG ... ($$$), PET CT/MRI ... COREIMpodcast #Cardiac
Common Vasopressors and Inotropes
Norepinephrine (NE)
 - Indication: Distributive shock (1st line for septic shock), Cardiogenic shock
is not desired (e.g ... is not desired (e.g ... Tachyarrhythmias, Cardiac ... Vasopressors #Inotropes #comparison ... #table #pharmacology
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
Cardiogenic (Intra-cardiac ... failure, acute MI ... → tension PTX, cardiac ... Differential #Diagnosis #table ... #comparison #criticalcare
Bedside Classification of Shock

Hypovolemic shock 

- Vomiting, diarrhea, overdiuresis 

- Hemorrhage (GI, peritoneal, RP) 

Distributive shock
Anaphylaxis - Post-cardiac ... Endocarditis - Post-MI ... #Cardiogenic #Comparison ... #Table #Diagnosis
Differentiating type-I vs. type-II MI

Sorting this out is difficult, often relying heavily on clinical judgement.

A key
type-I vs. type-II MI ... give someone 500 mcg ... The table below ... Definition #NSTEMI #Comparison ... #Table