11 results
ISCHEMIA Trial - Management Algorithm for patients with Stable Angina

Stress Test -> ? +moderate or severe
Algorithm for patients ... with Stable Angina ... Stress Test ... LMCA lesion -> Cardiac ... #Algorithm #Cardiology
Vasospastic (Prinzmetal) Angina
Definition / Epidemiology:
 • Rest angina attributed to coronary artery vasospasm.
 • Patients often
Diffuse spasm of epicardial ... changes on tele/ECG ... perform provocative tests ... #cardiology #diagnosis ... #management
Causes of Chronic Dyspnea - Differential Diagnosis Algorithm
Pericardial
 • Effusion
 • Cardiac Tamponade*
 • Constriction
Myocardial
 •
Chronic Dyspnea - Differential ... Diagnosis Algorithm ... Pericardial ... • Effusion • Cardiac ... Angina • Acute
Inpatient Cath Lab Indications
Cath Lab ASAP:
STEMI
NSTEMI:
1. Unstable/cardiogenic shock
2. Severe LV dysfunction or
3. Recurrent/persistent rest angina despite
Recurrent/persistent rest ... angina despite ... low (1-2) risk, +ECG ... Rx: NSTEMI/UA: stable ... #Indications #Cardiac
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
SHOCK INITIATIVE ALGORITHM ... Ischemic Symptoms  EKG ... Fick calculated cardiac ... DCSI #Initiative #Management ... #Cardiology
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
event, follow ACC algorithm ... determine if stress test ... Obtain EKG if: ... Unstable Angina ... medical and surgical management
Hemopericardium and Cardiac Tamponade on POCUS Echocardiogram

Next best step for this 25yo male (SBP 70)?
Resolution: pericardiocentesis
Tamponade on POCUS ... Echocardiogram Next best ... to definitive managemt ... Echocardiogram #clinical #Pericardial ... #Cardiology
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
(UPC) ratio • Cardiac ... anti-GBM) Other tests ... EGPA (↓ LVEF, pericardial ... recent DAN) • EMG ... #diagnosis #management
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
Differential Diagnosis ... and timing with Cardio-OB ... Delivery • Stable ... follow-up with Cardio-OB ... #cardiology #treatment
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
ECG is vital while ... Cardiac cath if ... #diagnosis #differential ... #algorithm #management ... #table #foamed