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

- Ivan Stankovic, MD,
Cardiac tamponade ... of electrical alternans ... on Echocardiogram ... #PSAX #clinical ... #cardiology #pocus
Pericardial Tamponade
Beck's Triad 
1. Hypotension 
2. Jugular venous distension 
3. Muffled heart sounds 
Patient will be
paradoxus - ECG ... QRS, electrical alterans ... #Pericardial #Cardiac ... #Becks #Triad #Diagnosis ... #Cardiology
Massive Pericardial Effusion on Echocardiogram (S4C) demonstrating ECG alternans motion
Massive pericardial effusion, female metastatic breast cancer
demonstrating ECG ... alternans motion ... #malignant #clinical ... #cardiology #pocus ... S4C #electrical #alternans
Massive Pericardial Effusion on Echocardiogram (A4C) demonstrating ECG alternans motion
Massive pericardial effusion, female metastatic breast cancer
demonstrating ECG ... alternans motion ... #malignant #clinical ... #cardiology #pocus ... a4c #electrical #alternans
Takotsubo Cardiomyopathy on POCUS

78 year old woman - Acute delirium but complaining of chest pain 
ECG:
of chest pain ECG ... chest leads Cardiac ... #Ultrasound #Clinical ... #Echocardiogram ... #Cardiology
Massive Pericardial Effusion on Echocardiogram (PLAX and M-Mode) demonstrating ECG alternans motion
Massive pericardial effusion, female metastatic
Pericardial Effusion on Echocardiogram ... demonstrating ECG ... alternans motion ... #malignant #clinical ... #cardiology #pocus
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Myocarditis Diagnosis ... gallop • Abnormal ECG ... , echocardiogram ... shock, sudden cardiac ... #Management #Cardiology
Congenital Long QT Syndrome: Illness Script

Who?
 - Kids or young adults, usually < 30
 - high
misdiagnosed) - Sudden cardiac ... **Get baseline EKG ... family history) Treatment ... LongQT #Syndrome #Diagnosis ... #Cardiology
Large Pericardial Effusion on POCUS 

Good example of swinging heart in pre tamponade. Reason for electrical
Pericardial Effusion on POCUS ... EKG from same patient ... #POCUS #Echocardiogram ... #A4C #Clinical ... #Cardiology #Swinging
Short axis of this echo is mesmerizing: Malignant effusion in a young pt. Notice subtle electrical
subtle electrical alternans ... on the ECG. ... PericardialEffusion #Clinical ... #POCUS #Echocardiogram ... ElectricalAlternans #Cardiology