CardiacCritCare

Promoting education and learning in cardiac critical care and echocardiography

[CardiacCritCare @cardiac_crit]

@TrackYourHeart The japanese octopus trap!
Tako

See more here

https://t.co/a1Et9SblgX

[CardiacCritCare @cardiac_crit]

Don't Stress! Let's Learn.
Stress cardiomyopathy - acute, reversible heart failure syndrome triggered by emotional/physical stress.

It mimics ACS but lacks coronary obstruction.

Apical ballooning is classic (75-80% of cases).
#Cardiology

[CardiacCritCare @cardiac_crit]

7/ Key Takeaways
• Underdamping: Sharp waveform, overestimates SBP, underestimates DBP.
• Overdamping: Smooth waveform, underestimates SBP, overestimates DBP.
• Use the fast-flush test to diagnose.
• Fix issues by addressing catheter/tubing problems and recalibrating.
🩺📊
#CriticalCare #ArterialLine

[CardiacCritCare @cardiac_crit]

🚨 Mastering Arterial Line Damping 🚨

Understanding under- and overdamping in arterial lines is crucial for accurate BP monitoring in the ICU.

Here’s a concise thread on what causes damping issues and how to fix them! 🩺💉 #CriticalCare #Hemodynamics

[CardiacCritCare @cardiac_crit]

6/ Fixing Overdamping

• Inspect tubing:
• Flush to remove air bubbles.
• Check for kinks or clots and replace tubing if needed.
• Ensure proper setup: Use wide-bore, high-pressure tubing.
• Re-zero and level: Align transducer to the phlebostatic axis and zero to atmospheric pressure.

[CardiacCritCare @cardiac_crit]

Pattern of liver injury in common infectious diseases.

A must know for all heath care providers.

Bookmark this key info to enhance patient care!

#CriticalCare #MedTwitter #FOAMed

[CardiacCritCare @cardiac_crit]

Pursuing optimal revascularization in multivessel CAD

CABG vs. Multivessel PCI vs both

Hybrid approach with LIMA-LAD & DES for non-LADs offers excellent long-term survival, faster recovery, and shorter stays while sparing surgery.

#Cardiology #HeartHealth

[CardiacCritCare @cardiac_crit]

🩺 Acute Aortic Syndrome Simplified

From normal aorta to penetrating aortic ulcers (PAU), this details AAS morphology for improved diagnosis & management.

A must-save for your cardiology toolkit! 📚

#Cardiology #MedEd #AorticDissection

[CardiacCritCare @cardiac_crit]

Prognosis
7/7
In-hospital mortality ~5%.
Recovery in 1-6 weeks, but recurrence rate is 2-4%/yr.
Long-term: fatigue (74%), dyspnea (43%), anxiety.

No clear evidence for chronic beta-blockers, but ACEi/ARBs may improve 1-yr survival. #StressCardiomyopathy
https://t.co/0TiThZhdvW

[CardiacCritCare @cardiac_crit]

Don't Stress! Let's Learn.
Stress cardiomyopathy - acute, reversible heart failure syndrome triggered by emotional/physical stress.

It mimics ACS but lacks coronary obstruction.

Apical ballooning is classic (75-80% of cases).
#Cardiology

[CardiacCritCare @cardiac_crit]

Treatment: Supportive care for HF.
6/
Avoid inotropes in LVOTO—use IV fluids, beta-blockers (e.g., esmolol).
Anticoagulation for thrombus risk (up to 10%).
Mechanical support (IABP, Impella) for shock.
Monitor QTc for arrhythmias. #CardiologyEducation

[CardiacCritCare @cardiac_crit]

@DrPharmDMDTh -Resistant gram negatives
-few regimens for prosthetic valve endocarditis
-plague, tularemia
-topically used for severe burn patients
-sometimes also intrathecally for severe meningitis like post neurosurgery