21 results
Septal Hypertrophic Cardiomyopathy (HOCM)

52yo worsening exertional sx and murmur. EKG nonspecific, Serial trops (-) 
EM resident
EKG nonspecific, ... Serial trops (- ... HCM + SAM ==> D ... #clinical #echocardiogram ... #plax #cardiology
LAD Coronary Artery Dissection on POCUS

Severe CP x 1 hour, Ant/Sept STEMI on EKG.  ED
x 1 hour, Ant/Sept ... STEMI on EKG. ... Dissection #POCUS #Echocardiogram ... #PSAX #Clinical ... #Cardiology
Common Vasopressors and Inotropes
Norepinephrine (NE)
 - Indication: Distributive shock (1st line for septic shock), Cardiogenic shock
(1st line for septic ... is not desired (e.g ... (distributive, septic ... is not desired (e.g ... Inotropes #comparison #table
Anterior-Septal Wall Motion Abnormality on POCUS Echocardiogram

58yoM smoker, neg nuclear ST last week, with CP that
Anterior-Septal ... with CP that woke him ... EKG: nsr, TWI v1 ... #Clinical #Cardiology ... #PLAX #LAD
Parasternal LAX view with severe septal thickening in a patient with Hypertrophic CM and obstruction. Given
view with severe septal ... risk for sudden cardiac ... cardiomyopathy #HOCM #HCM ... #plax #Echocardiogram ... #clinical #cardiology
Inpatient Cath Lab Indications
Cath Lab ASAP:
STEMI
NSTEMI:
1. Unstable/cardiogenic shock
2. Severe LV dysfunction or
3. Recurrent/persistent rest angina despite
despite intensive medical ... low (1-2) risk, +ECG ... Rx: NSTEMI/UA: stable ... #Indications #Cardiac ... catheterization #cardiology
Yamaguchi cardiomyopathy on Echocardiogram (A4C)

ECG has been stable for years, she only feels unwell when in
cardiomyopathy on Echocardiogram ... (A4C) ECG has ... been stable for ... Cardiac MR shows ... hypertrophic #clinical #cardiology
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
cardiomyopathy (e.g ... hemodynamics (e.g ... LVEF recovery (e.g ... teratogenic GDMT meds (e.g ... Serial TTE and close
Intraoperative Sepsis - Guidelines for Crises in Anaesthesia

Severe sepsis (hypotension persisting after initial fluid challenge of
have caused a septic ... Check serial lactates ... Consider monitoring cardiac ... cultures if possible (eg ... ongoing management plan
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Medical history ... indicated • EKG ... Obtain EKG if: ... - Cataract Plan ... one post op Cardiology