16 results
Myocarditis - Diagnosis and Causes
 • Clinical presentation: Pseudo-acute coronary syndrome, Cardiac failure <3 rnonths, Cardiogenic
and Causes • Clinical ... coronary syndrome, Cardiac ... failure <3 rnonths, Cardiogenic ... Paraclinical assessment: EKG ... #MRI
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
Ischemic Symptoms  EKG ... Obtain femoral arterial ... visualization with use of ultrasound ... Fick calculated cardiac ... IF LVEDP >15 or Cardiac
Wellens' Sign: LAD-T Wave Inversion 
Life threatening T wave inversions in precordial leads. Often V2-V3 
Specific
Specific for critical ... anterior wall MI ... Serial EKGS in pts ... #ECG #Electrocardiogram ... #Diagnosis #Cardiology
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Cardiovascular MRI ... Clinical • ... gallop • Abnormal ECG ... Elevated troponin • Cardiogenic ... shock, sudden cardiac
Takotsubo Cardiomyopathy on POCUS

78 year old woman - Acute delirium but complaining of chest pain 
ECG:
chest leads Cardiac ... MRI: https://www.grepmed.com ... Cardiomyopathy #POCUS #Ultrasound ... #Clinical #Echocardiogram ... #Cardiology
Yamaguchi cardiomyopathy on Electrocardiogram (EKG)
That time when a doctor tells you that you're "having a heart
cardiomyopathy on Electrocardiogram ... Cardiac MR shows ... #ekg #electrocardiogram ... #hypertrophic #clinical ... #cardiology
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Setup - Ultrasound ... telemetry, 12-Lead EKG ... pericarditis, Pericardial ... resuscitation • Cardiogenic ... Shock - MI
Right Heart Catheterization - Pulmonary Artery Pressures and Calculations
PULMONARY VASCULAR RESISTANCE = (meanPAP-PCWP) / CO
 •
mortality in inferior MI ... CARDIAC POWER OUTPUT ... Increases in RAP or pericardial ... much as 40% in cardiac ... Ahmed Ghoneem, MD MSc
Classic EKG triad of long QT, ST-depression, and PVCs in Hypokalemia
Worry about hypokalemia; this patient had
Classic EKG triad ... this patient had cardiac ... LongQTC #PVCs #EKG ... #ECG #Electrocardiogram ... #Cardiology #Clinical
Approach to ECGs
Check
 - Age, gender, name
 - 25mm/s; 10mm/mV
 - 1mm = 40ms; 0.1 mV
Rate
: WPW, ectopic atrial ... Short QT <300-360 ms ... #EKG #diagnosis ... #electrocardiogram ... #cardiology #interpretation