18 results
Constrictive Pericarditis on POCUS Echocardiogram - Apical 3-Chamber View

Young Lupus patient admitted to hospital new onset
Also has pericardial ... effusion/pericardial ... evidence of RA/RV collapse ... Echocardiogram #clinical #cardiology ... #A3C #SeptalBounce
Constrictive Pericarditis on POCUS Echocardiogram - Subcostal View

Young Lupus patient admitted to hospital new onset HFpEF.
Also has pericardial ... effusion/pericardial ... without RA/RV collapse ... Echocardiogram #clinical #cardiology ... #s4C #SeptalBounce
2017 ACC/AHA/HFSA Focused Update of the 2013 ACCF/AHA Guideline for the Management of Heart Failure: A
2017 ACC/AHA/HFSA ... Guideline for the Management ... American College of Cardiology ... Society of America #HFrEF ... guideline #ACCAHA2017 #cardiology
Pericardial Tamponade
Beck's Triad 
1. Hypotension 
2. Jugular venous distension 
3. Muffled heart sounds 
Patient will be
Pericardial Tamponade ... Muffled heart sounds ... show diastolic collapse ... #Cardiac #Tamponade ... Triad #Diagnosis #Cardiology
Pathophysiology Of Constriction
Exaggerated Ventricular Interdependence:
 • Limited Cardiac Filling due to Fixed Volume → Septum Shifts
Interdependence: • Limited Cardiac ... Cessation due to Stiff Pericardium ... intrapericardial (heart ... transmitted to the heart ... pathophysiology #cardiology
Stages in the development of HF and recommended therapy by stage. ACEI indicates angiotensin-converting enzyme inhibitor;
disease; CRT, cardiac ... failure; HFpEF, ... ejection fraction; HFrEF ... ACCAHA #Algorithm #Management ... #Cardiology
Right-Sided Heart Failure - Differential Diagnosis Algorithm
Cardiac Causes - Rule out Left-Sided Heart Failure (Most Common):
Right-Sided Heart ... Diagnosis Algorithm Cardiac ... out Left-Sided Heart ... • Constrictive ... #HeartFailure #Cardiology
Pulse Abnormalities - Differential Diagnosis Algorithm
Unequal/DeIayed:
 • Obstructive arterial disease (ie. Atherosclerosis)
 • Aortic dissection
 •
beats: • Left heart ... pressure >10mmHg: • Cardiac ... Hypovolemic shock • Constrictive ... followed by rapid collapse ... Abnormalities #Disorders #Cardiology
Constrictive Pericarditis on Echocardiogram
A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness
Constrictive Pericarditis ... to workup right-heart ... circumferential pericardial ... Echocardiogram #a4c ... pocus #clinical #cardiology
TOPCAT - Spironolactone for Heart Failure with Preserved Ejection Fraction

N Engl J Med 2014; 370:1383-1392 https://www.nejm.org/doi/10.1056/NEJMoa1313731

CONCLUSIONS:
Spironolactone for Heart ... causes, aborted cardiac ... hospitalization for the management ... Spironolactone #HFpEF ... #dCHF #Cardiology