14 results
Septal Hypertrophic Cardiomyopathy (HOCM)

52yo worsening exertional sx and murmur. EKG nonspecific, Serial trops (-) 
EM resident
Cardiomyopathy (HOCM ... elevated LVEDP ==> MRI ... #HCM #clinical ... #echocardiogram ... #plax #cardiology
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Cardiovascular MRI ... Clinical • ... Abnormal ECG, echocardiogram ... • Cardiogenic shock ... Diagnosis #Management #Cardiology
Approach to Undifferentiated Shock - OnePager Summary
Shock occurs when there is inadequate blood flow (CO) &
), LV Failure (MI ... Outflow Obstruction (HOCM ... , critical AS), ... #diagnosis #differential ... guyton #curves #criticalcare
Intracardiac Septal Masses / Thickening on Echocardiogram - Differential Diagnosis - 4 separate cases:
Case 1: LV
- Differential ... Case 3: Apical HOCM ... #clinical #a4c ... #comparison #Differential ... #Diagnosis #cardiology
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Embolism on POCUS Echocardiogram ... Sister had MI in ... Differential/diagnosis ... #A4c #clinical ... #cardiology #McConnells
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
Shock Overview ... death Common Clinical ... O2 delivery • MI ... management #Overview #criticalcare ... #differential #
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
Shock Overview ... death Common Clinical ... O2 delivery • MI ... management #Overview #criticalcare ... #differential #
Apical variant HCM - Importance of Acoustic Mismatch (CMR vs TTE)

Detailed Case Review: https://www.youtube.com/watch?v=2853TSxaeh4

V.L.Sorrell, MD @VLSorrellImages

#Apical
Apical variant HCM ... VLSorrellImages #Apical #HCM ... cardiacmri #CMR #comparison ... #Echocardiogram ... #clinical #cardiology
Huge mural thrombus occupying 1/3 the LV.
MI effecting [LAD territory]

In PLAX view, The unechoic line between
MI effecting [LAD ... DD the [apical HOCM ... Mural #Thrombus #clinical ... #cardiology #echocardiogram
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
just simply a clinical ... essentially Cardiogenic Shock ... #diagnosis #differential ... algorithm #management #cardiology ... heartfailure #chf #criticalcare