The Shownotes on Low Risk Chest Pain The management of low risk chest pain in the US is founded on a number of tenets: If low risk chest pain patients are sent home and they have unstable angina, they will do worse than if we admitted them Provocative testing will identify patients who are safe […]
QT Prolongation and Torsades de Pointe
qt prolongation + bradycardia + ectopy leads to tdP
Atrial Fibrillation and Atrial Flutter
Chemical Cardioversion Ibutilide 1 mg over 10 minutes Avoid if EF<20% or QTc>480 must observe for 4 hours to make sure no QT prolongation augments electrical cardioversion (NEJM 1999;340(24):1849 ashman beats from variable repolarization of the bundles Holiday heart=etoh generated a-fib, can also be from withdrawal. Usually spontaneously resolves. P-ulmonary Embolism […]
Cardiothoracic Surgical Intensive Care
best book: Manual of Perioperative Medicine by Bojar Post-CABG what was bypassed? discrete lesion vs. diffuse disease what was the graft material? art vs. vein, pedicle vs. free Looking for MAP 70-80 and DBP>50 First 6 hours, need CI>2.0 Hb 8.0 Fix acidosis CVP is actually a good monitor of RV failure Consider SWAN if […]
Heart Failure
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Syncope
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Chest Pain Differential
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Palliative Care, End of Life and Advanced Directives
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Intra-Aortic Balloon Pump (IABP)
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EKG in the Chest Pain Patient
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Acute Mediastinitis
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Post-Cardiac Surgical Management
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Pericardial and Myocardial Disease
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Endocarditis and Valvular Heart Disease
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Dysrhythmias
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Acute Coronary Syndromes (ACS)
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Pulmonary Hypertension
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