9 results
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
Ischemic Symptoms  EKG ... evidence of AMI (STEMI ... Fick calculated cardiac ... DCSI #Initiative #Management ... #Cardiology
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Myocarditis Diagnosis ... gallop • Abnormal ECG ... • Cardiogenic shock ... , sudden cardiac ... #Management #Cardiology
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... and Management ... telemetry, 12-Lead EKG ... #Diagnosis #Management ... #Summary #criticalcare
Initial assessment and management of coma in pediatric population.

Airway - is it secure? 
Breathing — is
assessment and management ... Circulation - treat shock ... Scale Exposure - e.g ... impending brain stem ... #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 shock ... Pericarditis, Tamponade EKG ... #Myocarditis #diagnosis ... #management #cardiology
Intra-Aortic Balloon Pump (IABP)

Intra-aortic balloon counter-pulsation is a method of invasive hemodynamic support. A catheter is
sync with the cardiac ... • Triggers (EKG ... Balloon #Pump #diagnosis ... #management #cardiology ... #criticalcare
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
cardiomyopathy (e.g ... hemodynamics (e.g ... LVEF recovery (e.g ... teratogenic GDMT meds (e.g ... #management #cardiology
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
ECG is vital while ... essentially Cardiogenic Shock ... Cardiac cath if ... #algorithm #management ... heartfailure #chf #criticalcare
Peripartum Cardiomyopathy (PPCM)

What is PPCM?
• A form of acute systolic heart failure that develops late in
of pregnancy (e.g ... ⚠️ Cardiogenic shock ... Genetic variants (e.g ... deficiencies (e.g ... Consider biomarkers (e.g