12 results
The arrows point to a subendocardial region with poor contrast enhancement due to ischemia. This is
enhancement due to ischemia ... subendocardial ischemia ... #Clinical #EM #IM ... #Cardiology #Radiology ... Subendocardial #Ischemia
Atrial Fibrillation - Diagnosis, Causes, Presentations
Causes (PIRATES):
 - Pulmonary embolism 
 - Ischemia (cardiac) 
 -
Atrial Fibrillation ... embolism - Ischemia ... enlargement or myxoma ... #Fibrillation #AFib ... PIRATES #Emergency #Cardiology
Apical 4-chamber (A4) Apical 4 Chamber view demonstrating the right ventricle (RV), right atrium (RA), left
(LV) and left atrium ... of the septum #Clinical ... #EM #Cardiology ... #POCUS #Apical ... #FourChamber #ALiEM
Atrial Fibrillation on POCUS Echocardiogram (A4C)

35yoF presents with acute onset atrial fibrillation.  POCUS shows dilated
POCUS shows dilated ... mitral valve coaptation ... #Fibrillation #AFib ... #A4C #clinical ... #cardiology
Atrial Fibrillation (A-Fib) Summary

Symptoms:
• Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope.

Why?
Cardiac:
	• Valvular heart
Decompensated HF • New ischemia ... (< 5% pts with afibb ... Mechanical heart valve ... #Fibrillation #AFib ... diagnosis #management #cardiology
Parasternal Long Axis view with measurement. Note the right ventricle (RV), interventricular septum (S), left ventricle
ventricle (LV), left atrium ... anterior mitral valve ... #Clinical #EM #Cardiology ... #POCUS #Parasternal ... LongAxis #PSLA #ALiEM
Subxiphoid 4-chamber view showing right ventricle (RV), right atrium (RA), left ventricle (LV) and left atrium
ventricle (RV), right atrium ... (LV) and left atrium ... #Clinical #EM #Cardiology ... #POCUS #Subxiphoid ... PericardialEffusion #ALiEM
Anticoagulant Therapy after PCI (patients with AFib)
Dual-Therapy Preferred:
 • Triple therapy = increased bleeding
(patients with AFib ... risk outweighed ischemic ... all patients in clinical ... derick_gabel via ACCP Cardiology ... pharmacology #management #cardiology
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
• Prosthetic valve ... Libman Sacks) • Atrial ... myxoma • Hypercoagulable ... Early embolic/ischemic ... diagnosis #management #cardiology
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
• Prosthetic valve ... Libman Sacks) • Atrial ... myxoma • Hypercoagulable ... Early embolic/ischemic ... Differential #Diagnosis #cardiology