22 results
Takotsubo Cardiomyopathy on POCUS

78 year old woman - Acute delirium but complaining of chest pain 
ECG:
Takotsubo Cardiomyopathy ... of chest pain ECG ... leads Cardiac MRI ... Ultrasound #Clinical #Echocardiogram ... #Cardiology
Massive Pericardial Effusion on Echocardiogram (A4C) demonstrating ECG alternans motion
Massive pericardial effusion, female metastatic breast cancer
Effusion on Echocardiogram ... demonstrating ECG ... metastatic breast cancer ... ... 1800 ml ... malignant #clinical #cardiology
Massive Pericardial Effusion on Echocardiogram (S4C) demonstrating ECG alternans motion
Massive pericardial effusion, female metastatic breast cancer
Effusion on Echocardiogram ... demonstrating ECG ... metastatic breast cancer ... ... 1800 ml ... malignant #clinical #cardiology
Restrictive Cardiomyopathy - Diagnosis and Causes
Clinical: Dyspnea, Exercise Intolerance, ↑ "Right Sided-Symptoms" (ascites, hepatomegaly, ↑↑peripheral edema)
Physical
Descents, Rales,+S4, MR ... Echocardiography, Cardiac MRI ... Heart Disease, Cancer-Related ... Diagnosis #Causes #differential ... #cardiology #algorithm
Massive Pericardial Effusion on Echocardiogram (PLAX and M-Mode) demonstrating ECG alternans motion
Massive pericardial effusion, female metastatic
Effusion on Echocardiogram ... demonstrating ECG ... metastatic breast cancer ... ... 1800 ml ... malignant #clinical #cardiology
Hemorrhagic Pericardial Effusions (Hemopericardium)- Differential Diagnosis Framework

IATROGENIC DISEASE
Secondary to invasive cardiac procedures

NONIATROGENIC
• Malignancy (e.g., metastatic spread:
Hemopericardium)- Differential ... • Malignancy (e.g ... metastatic spread: lung cancer ... , breast cancer, ... #Diagnosis #cardiology
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Embolism on POCUS Echocardiogram ... Triage EKG (no prior ... Sister had MI in ... Differential/diagnosis ... A4c #clinical #cardiology
Mechanical Complications in Acute Myocardial Infarction
Acute LV/RV Dysfunction:
 • Regional wall motion, systolic and diastolic function,
Rupture: • Large pericardial ... echodensities in pericardial ... and Rvol ≥ 30 mL ... Infarction #acuteMI #cardiology ... #differential #
Septal Hypertrophic Cardiomyopathy (HOCM)

52yo worsening exertional sx and murmur. EKG nonspecific, Serial trops (-) 
EM resident
Septal Hypertrophic Cardiomyopathy ... EKG nonspecific, ... elevated LVEDP ==> MRI ... HCM #clinical #echocardiogram ... #plax #cardiology
Approach to ECGs
Check
 - Age, gender, name
 - 25mm/s; 10mm/mV
 - 1mm = 40ms; 0.1 mV
Rate
II - LAD: Inf Ml ... - RAD: AntLat MI ... Mg, congenital, MI ... #EKG #diagnosis ... electrocardiogram #cardiology