21 results
Hypertrophic Cardiomyopathy (HOCM) - Diagnosis and Management
Diagnosis
 1. Wall thickness 215 mm (TTE/CT/MRI) 
 2. Absence
and Management ... 215 mm (TTE/CT/MRI ... testing, LGE on MRI ... Prevent Sudden Cardiac ... #Management #Cardiology
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Myocarditis Diagnosis ... Cardiovascular MRI ... shock, sudden cardiac ... death Management ... #Management #Cardiology
Cardiac Stress Testing
Exercise:
 • Everyone who can exercise should!
 • They must be able to raise
Cardiac Stress Testing ... ($$$), PET CT/MRI ... COREIMpodcast #Cardiac ... Stress #Testing #cardiology ... #management #diagnosis
Pericarditis on EKG
Stage 1 - Widespread ST elevation (<5mm) and PR depression; In aVR: ST depression
segments, usually best ... seen in acute MI ... Pericarditis #EKG #ECG #electrocardiogram ... #cardiology #diagnosis
Cardiac Event Monitoring Devices - Compared
Ambulatory ECG (Hotter):
 • Advantages: Continuous recording, records asx events, all
Cardiac Event Monitoring ... Disadvantages: Short ... NUIM_Chiefs #Cardiac ... Monitoring #Devices #Comparison ... #cardiology #management
ISCHEMIA Trial - Management Algorithm for patients with Stable Angina

Stress Test -> ? +moderate or severe
ISCHEMIA Trial - Management ... Angina Stress Test ... LMCA lesion -> Cardiac ... Angina #ChestPain #Diagnosis ... #Cardiology #EBM
Approach to ECGs
Check
 - Age, gender, name
 - 25mm/s; 10mm/mV
 - 1mm = 40ms; 0.1 mV
Rate
- RAD: AntLat MI ... 500 DANGER - Short ... Approach #ECG #EKG #diagnosis ... #electrocardiogram ... #cardiology #interpretation
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
ECGs - Ischemia MI ... deWinter T waves - starts ... Ischemia #ECG #EKG #diagnosis ... #electrocardiogram ... #cardiology #STEMI
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
un lymphatic Diagnostic ... Consider cardiac ... Other: Electrocardiogram ... #heartfailure #diagnosis ... #management #cardiology
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
Differential Diagnosis ... ancestry, LGE on MRI ... and timing with Cardio-OB ... follow-up with Cardio-OB ... #management #cardiology