13 results
Mitral Valve Vegetations in Endocarditis - POCUS Echocardiogram

Apical 4-chamber view, a mobile echogenic mass is seen
in Endocarditis ... - POCUS Echocardiogram ... Apical 4-chamber ... POCUS #Echocardiogram ... clinical #cardiology #a4c
Ebstein's Anomaly on Echocardiogram

• Failure of the TV to "de-laminate" from the RV
• An abnormality of
Failure of ... Affects RV & TV >> LV ... • Anterior and Apical ... Ebsteins #Anomaly #A4c ... #Echocardiogram
Intracardiac Septal Masses / Thickening on Echocardiogram - Differential Diagnosis - 4 separate cases:
Case 1: LV
Thickening on Echocardiogram ... - Differential ... : Case 1: LV Clot ... Case 3: Apical ... #clinical #a4c
Apical Wall Motion Abnormality on POCUS Echocardiogram

LV apical wall motion abnormality on this 4-chamber view.
Differential should
Abnormality on POCUS Echocardiogram ... LV apical wall ... Differential should ... Abnormality #WMA #POCUS #Echocardiogram ... clinical #cardiology #a4c
Causes of Primary and Functional Mitral Regurgitation (MR) 
Causes of primary mitral regurgitation
 - Rheumatic heart
Infective/marantic endocarditis ... Vegetations seen ... papillary muscles apically ... pacing (especially apical ... Primary #Functional #Differential
Restrictive Cardiomyopathy on Echocardiogram - Apical 4 Chamber View

RCM is a disease of diastole —> severe
- Apical 4 Chamber ... Though this case ... is late RCM as LV ... An ASD with atria ... #cardiology #a4c
Multiple Myxomas on POCUS Echocardiogram

Apical 4-chamber view demonstrating multiple myxomas in a case of Carney complex
Myxomas on POCUS Echocardiogram ... Apical 4-chamber ... seen in LA, LV, ... Myxomas #POCUS #Echocardiogram ... clinical #cardiology #A4C
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
New-onset Heart Failure ... Septic Emboli Cause ... Marantic (NTBE) Differential ... Treat underlying cause ... symptomatic heart failure
Coronary Artery Embolism - Etiology and Scoring
Etiology:
 • Direct: Clot (LV thrombus, LAA Thrombus), Valve (Vegetation,
Direct: Clot (LV ... Thrombus), Valve (Vegetation ... - Most Common Cause ... cardiac surgery, endocarditis ... Embolism #diagnosis #differential
RV Failure secondary to Pulmonary Arterial Hypertension on Echocardiogram
Pulmonary arterial hypertension resulting in severe RV dilation
RV Failure secondary ... This case illustrates ... identifying the RV vs LV ... ventricle with the apically ... clinical #cardiology #s4c