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Cor Triatriatum on Cardiac MRI

- Dr. Anthon Fuisz, MD
@DrFuisz

Cor Triatriatum (or triatrial heart) is a congenital
Triatriatum on Cardiac ... ) is a congenital ... the left atrium ... #CardiacMRI #Clinical ... #Congenital #Cardiology
Causes of Palpitations
 • ARRHYTHMiA 
 • SINUS ARRYTHMIA 
 • ATRIAL FIBRILLATION 
 • ATRIAL
FLUTTER • HEART ... TACHYCARDIA • CONGENITAL ... VALVULAR DISEASE • HEART ... FAILURE • CARDIOMYOPATHY ... SYPATHOMIMETICS • CARDIAC
Causes of Sudden Cardiac Arrest
Primary Myocardial Processes (> 90%):
 • Acquired structural heart disease: CAD, Most
Causes of Sudden Cardiac ... cardiomyopathies • Congenital ... : Hypertrophic cardiomyopathy ... EricsMedicalLectures/ #Cardiac ... #Arrest #cardiology
Congenital absence of the pericardium: 
- CXR: leftward shift of the cardiac silhouette, Snoopy sign, no
Congenital absence ... leftward shift of the cardiac ... displacement of the heart ... #pericardium #CardiacMRI ... #chest #radiology
Palpitations - Differential Diagnosis Framework

What?
• It is an unpleasant awareness or sensation that the heart is
muscle twitching CARDIAC ... Nonarrhythmic Cardiac ... Causes: • Cardiomyopathy ... • Congenital heart ... prosthetic valve NON-CARDIAC
Pulse Abnormalities - Differential Diagnosis Algorithm
Unequal/DeIayed:
 • Obstructive arterial disease (ie. Atherosclerosis)
 • Aortic dissection
 •
• Obstructive arterial ... beats: • Left heart ... pressure >10mmHg: • Cardiac ... • Restrictive Cardiomyopathy ... Abnormalities #Disorders #Cardiology
Coronary Artery Embolism - Etiology and Scoring
Etiology:
 • Direct: Clot (LV thrombus, LAA Thrombus), Valve (Vegetation,
Venous System/Right Heart ... Angiography or Cardiac ... non-culprit vessels • Atrial ... risk factors: cardiomyopathy ... PFO, ASD, h/o of cardiac
Right-Sided Heart Failure - Differential Diagnosis Algorithm
Cardiac Causes - Rule out Left-Sided Heart Failure (Most Common):
Right-Sided Heart ... Diagnosis Algorithm Cardiac ... out Left-Sided Heart ... • Restrictive Cardiomyopathy ... #HeartFailure #Cardiology
Premature Ventricular Complexes (PVC's) - Summary Framework

Why PVCs?  Can be the first manifestation of cardiac
manifestation of cardiac ... of structural heart ... capture of the atria ... arrhythmia • Atrial ... #differential #cardiology
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Prosthetic valve • Congenital ... dental procedure • Cardiac ... Libman Sacks) • Atrial ... loss • Myalgias Cardiac ... : • New cardiac