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cardiology clinical management algorithm complex criticalcare differential echocardiogram shock tamponade treatment a4c artery calculations catheter catheterization chf dcsi detroit equations
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 ... or NSTEMI) Cardiogenic ... Fick calculated cardiac ... IF LVEDP >15 or Cardiac
Hemorrhagic Pericardial Effusions (Hemopericardium)- Differential Diagnosis Framework IATROGENIC DISEASE Secondary to invasive cardiac procedures NONIATROGENIC • Malignancy (e.g., metastatic spread:
- Differential Diagnosis ... Secondary to invasive cardiac ... • Malignancy (e.g ... CAUSES • PRIMARY Cardiac ... #cardiology
Cardiac Findings in Sarcoidosis Most Commonly Affected Sites: - LV free wall (esp. basal posterior wall) -
Cardiac Findings ... hypertension Pericardial ... involvement: - Effusion ... ECG Abnormalities ... #Involvement #diagnosis
Shock - Diagnosis and Management Summary • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... telemetry, 12-Lead EKG ... pericarditis, Pericardial ... resuscitation • Cardiogenic ... Cardiac surgery?
Complex Pericardial Effusion with Tamponade on POCUS Echocardiogram - PLAX Pt sent to ED c intradialytic hypotension.
on POCUS Echocardiogram ... K 5.9 without EKG ... #Effusion #Cardiac ... #Tamponade #POCUS ... PLAX #clinical #cardiology
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 Complex Pericardial Effusion with Tamponade on POCUS Echocardiogram - A4C Pt sent to ED c intradialytic hypotension.
on POCUS Echocardiogram ... K 5.9 without EKG ... #Effusion #Cardiac ... #Tamponade #POCUS ... A4C #clinical #cardiology
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 Right Heart Catheterization - Pulmonary Artery Pressures and Calculations PULMONARY VASCULAR RESISTANCE = (meanPAP-PCWP) / CO •
RV dysfunction. e.g ... CARDIAC POWER OUTPUT ... Increases in RAP or pericardial ... forward flow. e.g ... artery #catheter #diagnosis
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
hemodynamics and cardiac ... ECG is vital while ... is essentially Cardiogenic ... Cardiac cath if ... algorithm #management #cardiology
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