All wards
CCU / stepdown
Cardiology
Heart failure, shock & the right ventricle. GDMT, decongestion, SCAI shock, and the RV death spiral — the floor-to-CCU spine.
0/4
01
Heart failure overview & cardiomyopathies
HF is a clinical diagnosis (congestion + a structural/functional ventricular problem). Cardiomyopathy is an imaging/structural label and does not require volume overload.
Frederick Lang5 min6 Qs02
ADHF management & GDMT
Triage by Forrester: warm/cold × wet/dry. Cold = hypoperfusion (AMS, lactate, cool extremities, narrow pulse pressure).
Frederick Lang6 min6 Qs03
Cardiogenic shock
SCAI stages A (at risk) → B (beginning, no hypoperfusion) → C (classic hypoperfusion) → D (deteriorating) → E (extremis).
Frederick Lang5 min6 Qs04
Right ventricular failure
RV is coupled to a high-compliance, low-resistance circuit and is more afterload-sensitive than the LV. It tolerates volume better than pressure.
Frederick Lang5 min6 Qs