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management anesthesiology intraoperative workup cardiomyopathy peripartum anaphylaxis arrest biopsy causes cooling differential evaluation ischaemia ischemia mri neuroprotection obgyn perioperative ppcm
Myocarditis Diagnosis • Endomyocardial biopsy (gold standard, rarely performed) • Clinical presentation • Cardiovascular MRI Clinical •
Myocarditis Diagnosis ... performed) • Clinical ... gallop • Abnormal ECG ... shock, sudden cardiac ... #Cardiology
Myocarditis 5 Principles of Myocarditis: 1. Build clinical suspicion 2. Decide on EMBx 3. Manage acute cardiac injury 4. Manage chronic
Build clinical suspicion ... Manage acute cardiac ... Manage chronic cardiac ... #diagnosis #management ... #cardiology #summary
Myocarditis - Diagnosis and Causes • Clinical presentation: Pseudo-acute coronary syndrome, Cardiac failure <3 rnonths, Cardiogenic
Myocarditis - Diagnosis ... and Causes • Clinical ... coronary syndrome, Cardiac ... Paraclinical assessment: EKG ... #Causes #cardiology
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
CM5 continuous ECG ... Obtain a 12-lead ECG ... consultation with cardiology ... Intraoperative #Checklist ... #Diagnosis #Management
Cardiac Tamponade - Guidelines for Crises in Anaesthesia Caused by an accumulation of blood, pus, effusion fluid
Cardiac Tamponade ... • Call for cardiac ... • Diagnostic ... Anesthesiology #Anesthesia ... Intraoperative #Checklist
Neuroprotection following Cardiac Arrest - Guidelines for Crises in Anaesthesia Outcome from cardiac arrest is determined by
Obtain 12-lead ECG ... and discuss with cardiology ... management in critical ... Intraoperative #Checklist ... #Diagnosis #Management
Intraoperative Anaphylaxis - Guidelines for Crises in Anaesthesia • Unexplained hypotension • Unexplained bronchospasm (wheeze may be absent
• Unexpected cardiac ... alternate vasopressor (e.g ... an appropriate critical ... Intraoperative #Checklist ... #Diagnosis #Management
Peripartum Cardiomyopathy - Summary 1. Definition • Towards the end of pregnancy to 5 months postpartum
Differential Diagnosis ... fragment • Other: Myocarditis ... and timing with Cardio-OB ... follow-up with Cardio-OB ... #management #cardiology
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
complications from anesthesia ... exam Determine Cardiac ... Change in clinical ... one post op Cardiology ... stratification #diagnosis
Peripartum Cardiomyopathy (PPCM) What is PPCM? • A form of acute systolic heart failure that develops late in
Cesarean delivery Clinical ... Key Point: High clinical ... rheumatic disease • Myocarditis ... experience recovery of cardiac ... Cardiomyopathy #Cardiology
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