45 results
Cardiac tamponade - a swinging heart of electrical alternans on Echocardiogram - PSAX

- Ivan Stankovic, MD,
Cardiac tamponade ... - a swinging heart ... on Echocardiogram ... #PSAX #clinical ... #cardiology #pocus
Pulse Abnormalities - Differential Diagnosis Algorithm
Unequal/DeIayed:
 • Obstructive arterial disease (ie. Atherosclerosis)
 • Aortic dissection
 •
- Differential Diagnosis ... beats: • Left heart ... pressure >10mmHg: • Cardiac ... tamponade • AECOPD ... #Algorithm #causes
Pericardial Tamponade
Beck's Triad 
1. Hypotension 
2. Jugular venous distension 
3. Muffled heart sounds 
Patient will be
Pericardial Tamponade ... QRS, electrical alterans ... #Pericardial #Cardiac ... #Triad #Diagnosis ... #Cardiology
Large Pericardial Effusion on POCUS 

Good example of swinging heart in pre tamponade. Reason for electrical
example of swinging heart ... in pre tamponade ... #POCUS #Echocardiogram ... #A4C #Clinical ... #Cardiology #Swinging
Cardiac Rupture with Pericardial Effusion

Apical 4 chamber. Note larger right sided pericardial effusion with significant compression
Cardiac Rupture ... pericardial #effusion #tamponade ... MyocardialInfarction #AMI #POCUS #Echocardiogram ... #ultrasound #Cardiology ... #A4c #clinical
Pericardial Tamponade in a Shock Patient

Watch how the heart collapses and struggles to beat in surrounding
Watch how the heart ... good enough at diagnosing ... @EM_RESUS #Clinical ... #POCUS #Echocardiogram ... #Cardiac #Tamponade
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Myocarditis Diagnosis ... performed) • Clinical ... Abnormal ECG, echocardiogram ... shock, sudden cardiac ... #Management #Cardiology
Right-Sided Heart Failure - Differential Diagnosis Algorithm
Cardiac Causes - Rule out Left-Sided Heart Failure (Most Common):
Right-Sided Heart ... - Differential Diagnosis ... Algorithm Cardiac ... Left-Sided Heart ... • Pericardial Tamponade
Constrictive Pericarditis on POCUS Echocardiogram - Apical 3-Chamber View

Young Lupus patient admitted to hospital new onset
could pinpoint the cause ... can be seen in tamponade ... Had diagnostic tap-fever ... #clinical #cardiology ... #A3C #SeptalBounce
Malignant Pericardial Effusion causing Cardiac Tamponade on Echocardiogram (A4c)
Hypotensive + respiratory distress. At first glance you
Tamponade on Echocardiogram ... tamponade! ... #Tamponade #clinical ... #echocardiogram ... #POCUS #cardiology