Cardiomyopathy+a4c+a4c signs thrombus s4c tricuspid valve sign cardiac definity lv clots failure

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This 24M presented with acute onset CP/SOB, hypoxia, HR 150s. What's the diagnosis? Treatment options? Hint:

with McConnell's sign ... later with normal LV ... Echocardiogram #A4C ... #McConnells #Sign ... #Clots #InTransit

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RV Failure secondary to Pulmonary Arterial Hypertension on Echocardiogram
Pulmonary arterial hypertension resulting in severe RV dilation

identifying the RV vs LV ... 100% reliable sign ... apically displaced valve ... (the tricuspid) ... clinical #cardiology #s4c

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