Cuba Cardiology Specialty - independent subject foundations common mistakes
Cuba Cardiology Specialty - independent subject foundations · Understand the traps and how to avoid them.
Equating every troponin elevation with infarction
Myocardial injury is not synonymous with an ischemic mechanism.
What to do instead
Require the appropriate clinical evidence of ischemia and interpret serial values.
Calling negative troponins stable angina
Unstable angina can occur without acute biomarker-defined necrosis.
What to do instead
Assess symptom change, ECG, the validated assay pathway and overall clinical risk.
Diagnosing AVNRT from a rate of 150 alone
Atrial flutter with 2:1 conduction can produce the same ventricular rate.
What to do instead
Review atrial activity, regularity and the complete ECG context.
Treating all shock with repeated fluid boluses
A congested failing ventricle may tolerate additional volume poorly.
What to do instead
Evaluate perfusion, congestion, ventricular function and response to the actual intervention.
Inferring severe valve disease from symptoms alone
Symptoms can arise from several causes and do not replace integrated valve assessment.
What to do instead
Combine anatomy, Doppler, flow, ventricular response and symptom attribution.
Labeling every precapillary pattern Group 1 PAH
Other pulmonary hypertension groups can share that hemodynamic profile.
What to do instead
Determine the etiological group using the full pulmonary and cardiovascular evaluation.
Mixing stroke-risk score systems
Traditional CHA2DS2-VASc and CHA2DS2-VA have different component definitions.
What to do instead
Name the framework and add only the supplied components under that framework.
Ignoring units in Fick calculations
Oxygen content per deciliter cannot be used as if it were per liter.
What to do instead
Convert the content difference before dividing oxygen consumption by that difference.