22 results
Takotsubo Cardiomyopathy on POCUS

78 year old woman - Acute delirium but complaining of chest pain 
ECG:
Takotsubo Cardiomyopathy ... on POCUS 78 ... of chest pain ECG ... leads Cardiac MRI ... Echocardiogram #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
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
Massive Pericardial Effusion on Echocardiogram (A4C) demonstrating ECG alternans motion
Massive pericardial effusion, female metastatic breast cancer
demonstrating ECG ... metastatic breast cancer ... ... 1800 ml ... malignant #clinical #cardiology ... #pocus #a4c #electrical
Massive Pericardial Effusion on Echocardiogram (S4C) demonstrating ECG alternans motion
Massive pericardial effusion, female metastatic breast cancer
demonstrating ECG ... metastatic breast cancer ... ... 1800 ml ... malignant #clinical #cardiology ... #pocus #S4C #electrical
Massive Pericardial Effusion on Echocardiogram (PLAX and M-Mode) demonstrating ECG alternans motion
Massive pericardial effusion, female metastatic
demonstrating ECG ... metastatic breast cancer ... ... 1800 ml ... malignant #clinical #cardiology ... #pocus #PLAX #MMode
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism on POCUS ... 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 #
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
Septal Hypertrophic Cardiomyopathy (HOCM)

52yo worsening exertional sx and murmur. EKG nonspecific, Serial trops (-) 
EM resident
Septal Hypertrophic Cardiomyopathy ... EKG nonspecific, ... elevated LVEDP ==> MRI ... echocardiogram #plax #cardiology ... #pocus