9 results
RV Failure secondary to Pulmonary Arterial Hypertension on Echocardiogram
Pulmonary arterial hypertension resulting in severe RV dilation
This case illustrates ... 100% reliable sign ... apically displaced valve ... (the tricuspid) ... clinical #cardiology #s4c
Portopulmonary Hypertension
Presence of pulmonary arterial hypertension in a patient with portal hypertension
No other obvious causes (chronic
other obvious causes ... Transthoracic echocardiogram ... PPHTN • Peak tricuspid ... m/s • Other signs ... - Mechanism: causes
Right-Sided Heart Failure - Differential Diagnosis Algorithm
Cardiac Causes - Rule out Left-Sided Heart Failure (Most Common):
- Differential Diagnosis ... Cardiomyopathy - Valves ... Stenosis • Tricuspid ... Disease • Acute ... Arterial Hypertension
McConnell's Sign on POCUS Echocardiogram (A4C)

A4c view; RV enlargement & hypokinesis with apical sparing ("McConnell Sign"
(A4C) A4c view ... " c/w acute right ... Diagnosis concerning ... for Pulmonary Embolism ... #A4C #clinical
Widened Pulse Pressure - Differential Diagnosis and Pathophysiology

Pulse pressure is the difference between the systolic blood
sclerosis (both heart valve ... PP and systolic hypertension ... : • Acute Coronary ... Infarction • Pulmonary ... Regurgitation) • Tricuspid
McConnell's Sign on POCUS Echocardiogram

2 patients w/ different diagnoses.  Both demonstrate an apical 4-chamber view
on POCUS Echocardiogram ... patients w/ different diagnoses ... typically from acute ... strain related to pulmonary ... clinical #cardiology #a4c
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Culture (+): Acute ... Cerebral > Splenic, pulmonary ... Paradoxical emboli via ASD ... Treat underlying cause ... Substance use: R > L Tricuspid
Total Anomalous Pulmonary Venous Return (TAPVR)

Here's the bedside Echo of an 8-week-old boy who presented to
Total Anomalous Pulmonary ... to the ER with acute ... (This causes ↑ strain ... Return #POCUS #Echocardiogram ... #Clinical #A4C
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
• Prosthetic valve ... Culture Positive: • Acute ... Cerebral > Splenic, Pulmonary ... Paradoxical emboli via ASD ... substance use: R > L Tricuspid