11 results
This 24M presented with acute onset CP/SOB, hypoxia, HR 150s. What's the diagnosis? Treatment options? Hint:
presented with acute ... Thrombus in transit ... in RA. dilated RV ... Clinical #POCUS #Echocardiogram ... #A4C #McConnells
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Differential/diagnosis ... ) with dilated RV ... , McConnell's sign ... #A4c #clinical ... #cardiology #McConnells
McConnell's Sign on POCUS Echocardiogram (A4C)

A4c view; RV enlargement & hypokinesis with apical sparing ("McConnell Sign"
on POCUS Echocardiogram ... ; RV enlargement ... " c/w acute right ... #POCUS #Echocardiogram ... #ultrasound #cardiology
McConnell's Sign on POCUS Echocardiogram

2 patients w/ different diagnoses.  Both demonstrate an apical 4-chamber view
on POCUS Echocardiogram ... (hypo kinetic RV ... infarct or acute ... #clinical #cardiology ... #a4c #labeled
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
women • DDx: Acute ... Equivalents / Don't Miss Signs ... bigger than QRS - deWinter ... depression in V2 - RV ... Interpretation #differential
Pulmonary Embolism in COVID-19- Clot in Transit

57 year old COVID PUI  with massive RA thrombus
with massive RA thrombus ... complicated by RV ... Resulted in cardiac ... Pulmonary #Embolism #AcutePE ... #A4C #Clinical
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
J point • De Winter ... V2 • Wellens sign ... deviation) • Acute ... EKG #diagnosis #differential ... #cardiology #electrocardiogram
Right Heart Strain on POCUS Echocardiogram - Apical 4 Chamber

To differentiate acute from chronic right heart
Chamber To differentiate ... acute from chronic ... use continuous wave ... #clinical #cardiology ... #a4c
Mechanical Complications in Acute Myocardial Infarction
Acute LV/RV Dysfunction:
 • Regional wall motion, systolic and diastolic function,
LV/RV Dysfunction ... HTN and LV/RV dysfunction ... poor prognostic signs ... • Stasis and thrombus ... #cardiology #differential
Rheumatic Heart Disease - Mitral Stenosis on Echocardiogram
(1) Thickened and fibrosed MV leaflets - rheumatic etiology
Mitral Stenosis on Echocardiogram ... (3) RV dysfunction ... (4) All 4 cardiac ... #clinical #cardiology ... #a4c #thrombus