18 results
Pericardial Tamponade
Beck's Triad 
1. Hypotension 
2. Jugular venous distension 
3. Muffled heart sounds 
Patient will be
Pericardial Tamponade ... paradoxus - ECG ... collapse of RV - Treatment ... #Cardiac #Tamponade ... Diagnosis #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 ... Cardiac surgery? ... #criticalcare #treatment
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
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Cardiovascular MRI ... Clinical • ... gallop • Abnormal ECG ... • 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
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 ... HF, Cardiogenic shock ... Pericarditis, Tamponade EKG ... Low voltage Treatment
Right Heart Catheterization - Pulmonary Artery Pressures and Calculations
PULMONARY VASCULAR RESISTANCE = (meanPAP-PCWP) / CO
 •
mortality in inferior MI ... CARDIAC POWER OUTPUT ... trial registry ... Increases in RAP or pericardial ... much as 40% in cardiac
Cardiac Tamponade - Guidelines for Crises in Anaesthesia
Caused by an accumulation of blood, pus, effusion fluid
Cardiac Tamponade ... help and inform clinical ... thoracotomy is a better treatment ... to identify pericardial ... toward the largest pericardial
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Evaluation - EKG ... (no B-lines on ultrasound ... Revascularization, treatment ... for acute MI if ... #HeartFailure #Cardiology
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
ancestry, LGE on MRI ... Pts: cardiogenic shock ... and timing with Cardio-OB ... follow-up with Cardio-OB ... #treatment