17 results
Pericardial Tamponade
Beck's Triad 
1. Hypotension 
2. Jugular venous distension 
3. Muffled heart sounds 
Patient will be
Pericardial Tamponade ... paradoxus - ECG ... QRS, electrical alterans ... #Cardiac #Tamponade ... Triad #Diagnosis #Cardiology
Massive Pericardial Effusion on Echocardiogram (A4C) demonstrating ECG alternans motion
Massive pericardial effusion, female metastatic breast cancer
demonstrating ECG ... alternans motion ... 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
demonstrating ECG ... alternans motion ... metastatic breast cancer ... ... 1800 ml ... malignant #clinical #cardiology
Massive Pericardial Effusion on Echocardiogram (PLAX and M-Mode) demonstrating ECG alternans motion
Massive pericardial effusion, female metastatic
demonstrating ECG ... alternans motion ... metastatic breast cancer ... ... 1800 ml ... malignant #clinical #cardiology
Large Pericardial Effusion on POCUS 

Good example of swinging heart in pre tamponade. Reason for electrical
swinging heart in pre tamponade ... for electrical alternans ... EKG from same patient ... swinging #electrical #alternans ... A4C #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
Mechanical Complications in Acute Myocardial Infarction
Acute LV/RV Dysfunction:
 • Regional wall motion, systolic and diastolic function,
Rupture: • Large pericardial ... • Features of tamponade ... and Rvol ≥ 30 mL ... Infarction #acuteMI #cardiology ... #differential #
Fibrinous pericardial effusion with tamponade on POCUS

80F w AFib w pacemaker on warfarin presents with n/v
Fibrinous pericardial ... effusion with tamponade ... cath lab. >700 ml ... effusion: TB, cancer ... Echocardiogram #PSAX #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
Complex Pericardial Effusion with Tamponade on POCUS Echocardiogram - PLAX
Pt sent to ED c intradialytic hypotension.
Effusion with Tamponade ... K 5.9 without EKG ... About 950 ml removed ... effusion/tamponade ... PLAX #clinical #cardiology