47 results
Myocarditis - Diagnosis and Causes
 • Clinical presentation: Pseudo-acute coronary syndrome, Cardiac failure <3 rnonths, Cardiogenic
Myocarditis - Diagnosis ... and Causes • Clinical ... presentation: Pseudo-acute ... Paraclinical assessment: EKG ... #cardiology #MRI
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
Manage acute cardiac ... injury 4. ... Pericarditis, Tamponade EKG ... #diagnosis #management ... #cardiology #summary
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Myocarditis Diagnosis ... Cardiovascular MRI ... intolerance • Chest ... gallop • Abnormal ECG ... #Cardiology
Differential Diagnosis for ST Segment Elevations
 - ACUTE STEMI 
 - PULMONARY EMBOLISM 
 - LBBB
Differential Diagnosis ... Elevations - ACUTE ... CARDIOMYOPATHY - MYOCARDITIS ... TRAUMATIC BRAIN INJURY ... #Diagnosis #Cardiology
Myocardial Injury Classification
Chronic myocardial injury: Chronic heart failure, Cardiomyopathy, Hypertension, CKD/ESRD
Acute nonischemic myocardial injury:
 - Primary
cardiac illness: Myocarditis ... cardiomyopathy, Acute ... non-cardiac illness: Critical ... Classification #diagnosis ... #cardiology #troponemia
Wellens' Sign: LAD-T Wave Inversion 
Life threatening T wave inversions in precordial leads. Often V2-V3 
Specific
Specific for critical ... week of becoming acute ... anterior wall MI ... period without chest ... #Diagnosis #Cardiology
Takotsubo Cardiomyopathy on POCUS

78 year old woman - Acute delirium but complaining of chest pain 
ECG:
year old woman - Acute ... pain ECG: non ... leads Cardiac MRI ... POCUS #Ultrasound #Clinical ... Echocardiogram #Cardiology
Pericarditis on EKG
Stage 1 - Widespread ST elevation (<5mm) and PR depression; In aVR: ST depression
Pericarditis on EKG ... also be seen in acute ... MI - Dr. ... #cardiology #diagnosis ... #clinical
Chest Pain - Differential Diagnosis Algorithm
Cardiovascular Causes:
 - Outflow Obstruction
     • Aortic
Chest Pain - Differential ... Diagnosis Algorithm ... Pericarditis • Myocarditis ... • Muscular Injury ... #Differential #
Causes of Acute Pericarditis:

Infectious;

Viral: 
Adenovirus 
Coxsackie virus A and B 
Echovirus 
Epstein-Barr virus 
Hepatitis 
Human immunodeficiency
Causes of Acute ... Noninfectious Acute ... idiopathic* Acute ... #Pericarditis #Differential ... #Diagnosis