18 results
Non-lschemic Causes of Cardiogenic Shock:

Beta-Blockers, Calcium Channel Blockers, Digoxin 

Myocarditis 

Cardiomyopathies (sarcoidosis, amyloidosis, Takatsubo, 
hemochromatosis) 

Valvular
Non-lschemic Causes of Cardiogenic ... dysfunction Tamponade ... , pulmonary HTN, ... Nonlschemic #Causes #Cardiogenic ... #Differential #Diagnosis
Signs of Tamponade can be masked by pulmonary hypertension! 1.2L drained. Read more: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5466174/

- VCU Ultrasound
Signs of Tamponade ... can be masked by pulmonary ... #phtn #pulmonary ... pocus #clinical #echocardiogram ... #a4c
Tamponade Masked in Pulmonary Hypertension

Signs of Tamponade can be masked by pulmonary hypertension! 1.2L drained. Read
in Pulmonary Hypertension ... can be masked by pulmonary ... POCUS #Cardiology #Echocardiogram ... #A4C #Cardiac # ... LeftSided #Collapse #PHTN
Hypotension / Shock Differential Diagnosis Algorithm
Hypovolemic:
 • Poor oral intake
 • Hemorrhage
 • Renal loss
 •
Shock Differential Diagnosis ... • Severe bum Cardiogenic ... valvulopathy • Pulmonary ... obstruction • Pulmonary ... Obstructive: • Cardiac tamponade
Pulmonary Arterial Catheterization – Use and Interpretation:
-Pulmonary arterial catheterization (PAC) has never been shown to improve
However, when the diagnosis ... mixed, hemodynamic measurements ... those with severe cardiogenic ... shock (eg, acute ... hypertension or cardiac tamponade
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
- Differential Diagnosis ... High SVR: • Cardiogenic ... • Obstructive: Pulmonary ... Pneumothorax, Cardiac Tamponade ... , Severe pHTN, Constrictive
Shock - Differential Diagnosis by Classification

Hypovolemic (Intravascular volume depletion)
 - Hemorrhagic 
   • Trauma
- Differential Diagnosis ... neurogenic shock) Cardiogenic ... contractility) - Acute ... flow) - Massive pulmonary ... - Pericardial tamponade
Bedside Classification of Shock

Hypovolemic shock 

- Vomiting, diarrhea, overdiuresis 

- Hemorrhage (GI, peritoneal, RP) 

Distributive shock
infarction Tamponade ... cardiomyopathy Acute ... Elderly with chronic HTN ... #Distributive #Cardiogenic ... Comparison #Table #Diagnosis
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
Neurogenic • Cardiogenic ... : Acute MI, Acute ... Obstructive: Pericardial tamponade ... , Pulmonary embolism ... #inopressors #diagnosis
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
Manage acute cardiac ... HF, Cardiogenic ... Pericarditis, Tamponade ... agent, steroids, AC ... #Myocarditis #diagnosis