11 results
Cardiac Amyloid - Diagnosis, Signs, Symptoms and Management

Clinical Presentation
- exertional dyspnea
- peripheral edema
- exertional syncope
- peripheral
Cardiac Amyloid - Diagnosis ... and Management ... pseudoinfarct pattern (Q-waves ... precordial leads) - atrial ... #Cardiology #Staging
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
new/old infarct STEMI ... Equivalents / Don't Miss Signs ... bigger than QRS - deWinter ... Ischemia #ECG #EKG #diagnosis ... electrocardiogram #cardiology
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
J point • De Winter ... V2 • Wellens sign ... pain • Wellens sign ... Equivalents #ECG #EKG #diagnosis ... #differential #cardiology
McConnell's Sign on POCUS Echocardiogram (A4C)

A4c view; RV enlargement & hypokinesis with apical sparing ("McConnell Sign"
on POCUS Echocardiogram ... hypokinesis with apical sparing ... Diagnosis concerning ... #POCUS #Echocardiogram ... #ultrasound #cardiology
McConnell's Sign in RV Infarct
This patient arrived as a STEMI alert. Apical 4-chamber view showing a
McConnell's Sign ... patient arrived as a STEMI ... RV with apical sparing ... clinical #POCUS #Echocardiogram ... #A4C #cardiology
Graphic representation of transthoracic echocardiographic parameters in the assessment of right ventricular pressure overload. A′ = peak late
and McConnell sign ... view E. 60/60 sign ... cmls) #TTE #Echocardiogram ... Transthoracic #Diagnosis ... RightVentricular #Cardiology
Constrictive Pericarditis on Echocardiogram
A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness
ASA, Kussmaul's sign ... expiration not meeting diagnostic ... shudder by M‐mode imaging ... #a4c #pocus #clinical ... #cardiology
Right heart dysfunction and failure in heart failure with preserved ejection fraction: mechanisms and management 
Source:
mechanisms and management ... Doppler tissue imaging ... time; LA, left atrium ... #Diagnosis #Cardiology ... #Echocardiogram
McConnell's Sign on POCUS Echocardiogram

2 patients w/ different diagnoses.  Both demonstrate an apical 4-chamber view
on POCUS Echocardiogram ... patients w/ different diagnoses ... RV with apical sparing ... #clinical #cardiology ... #a4c #labeled
Atrial Fibrillation (A-Fib) Summary

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

Why?
Cardiac:
	• Valvular heart
Atrial Fibrillation ... • Absence of P waves ... (if patient is taking ... Fibrillation #AFib #diagnosis ... #management #cardiology