Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇭 🇺🇸 - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG: https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/
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diagnosis summary anesthesia anesthesiology angina biopsy bradycardia cardiomyopathy cardiotoxicity checklist checkpoint classification degrees differential dissection equivalents heartblocks ici inhibitor interpretation
Myocarditis Diagnosis • Endomyocardial biopsy (gold standard, rarely performed) • Clinical presentation • Cardiovascular MRI Clinical •
intolerance • Chest ... pain, pericarditis ... gallop • Abnormal ECG ... #Diagnosis #Management ... #Cardiology
Myocarditis 5 Principles of Myocarditis: 1. Build clinical suspicion 2. Decide on EMBx 3. Manage acute cardiac injury 4. Manage chronic
shock, Arrythmias, Pericarditis ... , Tamponade EKG ... Low voltage Treatment ... #diagnosis #management ... #cardiology #summary
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
= Biomarkers + ECG ... : Acute STEMI, Aortic ... #Ischemia #ECG ... #EKG #diagnosis ... #electrocardiogram
Aortic Dissection Pearls Aortic dissection is caused by a tear in the tunica intima, the innermost layer
presenting with chest ... tissue disorder e.g ... deficit • Shock Treatment ... blood pressure: e.g ... Dissection #diagnosis #management
Summary of Heart Blocks 1st Degree Heart Block: • Prolonged PR >200ms (5 small squares). • Narrow
• No Treatment ... Brady Management ... summary #Diagnosis #EKG ... #electrocardiogram ... #ecg #cardiology
Vasospastic (Prinzmetal) Angina Definition / Epidemiology: • Rest angina attributed to coronary artery vasospasm. • Patients often
Recurrent anginal chest ... changes on tele/ECG ... tests in cath lab Treatment ... Prinzmetal #Angina #cardiology ... #diagnosis #management
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 ... #cardiology #treatment
Intraoperative Bradycardia - Guidelines for Crises in Anaesthesia Bradycardia in theatre should not be treated as
remember to tailor treatment ... Breathing • Check chest ... known drug causes (eg ... Checklist #Diagnosis #Management ... #Workup #Cardiology
Management of Immune Checkpoint Inhibitor (ICI) Induced Cardiotoxicity Problem - Immune checkpoint inhibitors (ICIs) are associated with
ICIs range from myocarditis ... serious arrhythmias, pericarditis ... Monitor and trend electrocardiogram ... Cardiotoxicity #cardiology ... #treatment
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