18 results
Pericardial Tamponade
Beck's Triad 
1. Hypotension 
2. Jugular venous distension 
3. Muffled heart sounds 
Patient will be
Pericardial Tamponade ... paradoxus - ECG ... low voltage QRS, electrical ... #Cardiac #Tamponade ... Triad #Diagnosis #Cardiology
Large Pericardial Effusion on POCUS 

Good example of swinging heart in pre tamponade. Reason for electrical
Reason for electrical ... EKG from same patient ... Effusion #swinging #electrical ... alternans #POCUS #Echocardiogram ... A4C #Clinical #Cardiology
Massive Pericardial Effusion on Echocardiogram (A4C) demonstrating ECG alternans motion
Massive pericardial effusion, female metastatic breast cancer
Effusion on Echocardiogram ... demonstrating ECG ... #Effusion #Echocardiogram ... malignant #clinical #cardiology ... #pocus #a4c #electrical
Massive Pericardial Effusion on Echocardiogram (S4C) demonstrating ECG alternans motion
Massive pericardial effusion, female metastatic breast cancer
Effusion on Echocardiogram ... demonstrating ECG ... #Effusion #Echocardiogram ... malignant #clinical #cardiology ... #pocus #S4C #electrical
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
summation gallop • Abnormal ... ECG, echocardiogram ... shock, sudden cardiac ... death Management ... #Cardiology
Massive Pericardial Effusion on Echocardiogram (PLAX and M-Mode) demonstrating ECG alternans motion
Massive pericardial effusion, female metastatic
Effusion on Echocardiogram ... demonstrating ECG ... #Effusion #Echocardiogram ... malignant #clinical #cardiology ... #PLAX #MMode #electrical
Cardiac Findings in Sarcoidosis
Most Commonly Affected Sites:
 - LV free wall (esp. basal posterior wall)
 -
Cardiac Findings ... hypertension Pericardial ... - Effusion ECG ... deviation - Abnormal ... #Sarcoidosis #Cardiology
Cardiac Amyloid - Diagnosis, Signs, Symptoms and Management

Clinical Presentation
- exertional dyspnea
- peripheral edema
- exertional syncope
- peripheral
Cardiac Amyloid ... , Symptoms and Management ... hepatomegaly - normal ... despite hx HTN) EKG ... Signs #Symptoms #Cardiology
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
Ischemic Symptoms  EKG ... Fick calculated cardiac ... IF LVEDP >15 or Cardiac ... DCSI #Initiative #Management ... #Cardiology
Hemopericardium and Cardiac Tamponade on POCUS Echocardiogram

Next best step for this 25yo male (SBP 70)?
Resolution: pericardiocentesis
Hemopericardium and Cardiac ... Tamponade on POCUS Echocardiogram ... to definitive managemt ... #clinical #Pericardial ... #Cardiology