20 results
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
• Chest pain, pericarditis ... summation gallop • Abnormal ... ECG, echocardiogram ... shock, sudden cardiac ... #Cardiology
Constrictive Pericarditis on Echocardiogram
A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness
on Echocardiogram ... had gained 15 kg ... circumferential pericardial ... #Echocardiogram ... pocus #clinical #cardiology
Constrictive Pericarditis on Echocardiogram

Septal Shudder, tubular LV (bullet shaped), D Cruz sign(abnormal angle between post wall
on Echocardiogram ... ), D Cruz sign(abnormal ... halt, increased pericardial ... #Echocardiogram ... POCUS #clinical #cardiology
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
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
Manage acute cardiac ... shock, Arrythmias, Pericarditis ... , Tamponade EKG ... Myocarditis #diagnosis #management ... #cardiology #summary
Pathophysiology Of Constriction
Exaggerated Ventricular Interdependence:
 • Limited Cardiac Filling due to Fixed Volume → Septum Shifts
Interdependence: • Limited Cardiac ... Cessation due to Stiff Pericardium ... - Under normal ... #constrictive #pericarditis ... pathophysiology #cardiology
Chest pain after AFib ablation. What’s the most likely diagnosis?

...

You are all correct: the patient had
an echo showing normal ... w/ a moderate pericardial ... Dx pericarditis ... MusaSharkawi #Clinical #Cardiology ... #EKG #ECG #Pericarditis
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
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Diagnosis and Management ... telemetry, 12-Lead EKG ... > Constrictive pericarditis ... , Pericardial Tamponade ... Cardiac surgery?
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