25 results
Pericardial Tamponade
Beck's Triad 
1. Hypotension 
2. Jugular venous distension 
3. Muffled heart sounds 
Patient will be
Pericardial Tamponade ... Muffled heart sounds ... paradoxus - ECG ... #Cardiac #Tamponade ... Diagnosis #Cardiology
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
Pulmonary embolism • Cardiac ... : • EKG • Bedside ... ultrasound • CXR ... , PT. aPTT • Serial ... troponin; HEART
Atrial Fibrillation (A-Fib) Summary

Symptoms:
• Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope.

Why?
Cardiac:
	• Valvular heart
Cardiac: • Valvular ... (< 5% pts with afibb ... ventricular hypertrophy, pericardial ... #diagnosis #management ... #cardiology
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Myocarditis Diagnosis ... gallop • Abnormal ECG ... , echocardiogram ... shock, sudden cardiac ... #Management #Cardiology
Approach to the Hypercoagulable State
Arterial thromboembolism
→ Cardiac rhythm monitoring, Echocardiogram, Vascular imaging
→ Test for APS, particularly
thromboembolism → Cardiac ... rhythm monitoring, Echocardiogram ... • Provoked (e.g ... CBC, aPTT, +/- CXR ... #hematology #diagnosis
Amyloidosis on POCUS Echocardiogram - Apical 4 Chamber (A4C)
Pt with systemic AL amyloidosis presents with 1
appearance of heart ... on CXR. ... Has new large pericardial ... #POCUS #clinical ... #Cardiology #A4C
Amyloidosis on POCUS Echocardiogram - Parasternal short axis (PSAX)
Pt with systemic AL amyloidosis presents with 1
appearance of heart ... on CXR. ... Has new large pericardial ... #POCUS #clinical ... #Cardiology #PSAX
Amyloidosis on POCUS Echocardiogram - Parasternal long axis (PLAX)
Pt with systemic AL amyloidosis presents with 1
appearance of heart ... on CXR. ... Has new large pericardial ... #POCUS #clinical ... #Cardiology #PLAX
Amyloidosis on POCUS Echocardiogram - Subcostal 4 Chamber (S4C)
Pt with systemic AL amyloidosis presents with 1
appearance of heart ... on CXR. ... Has new large pericardial ... #POCUS #clinical ... #Cardiology #S4C
Palpitations - Differential Diagnosis Framework

What?
• It is an unpleasant awareness or sensation that the heart is
- Differential Diagnosis ... Palpitations Diagnosis ... Nonarrhythmic Cardiac ... /Afib/WPW) • Loss ... #Palpitations #Cardiology