3 results
Septal Hypertrophic Cardiomyopathy (HOCM)

52yo worsening exertional sx and murmur. EKG nonspecific, Serial trops (-) 
EM resident
EKG nonspecific, Serial ... trops (-) EM ... elevated LVEDP ==> MRI ... echocardiogram #plax ... #cardiology #pocus
Huge mural thrombus occupying 1/3 the LV.
MI effecting [LAD territory]

In PLAX view, The unechoic line between
Huge mural thrombus ... territory] In PLAX ... DD the [apical HOCM ... #cardiology #echocardiogram ... #pocus #a4c
Tropical Endomyocardial Fibrosis (EMF)
snrunken ventnoes
Hallmark chronic EMF features include:
 • Apical obliteration of the left and/or
with overlying thrombus ... ventricles and marked atria ... muscles leading to mitral ... Eosinophilia may play ... #cardiology #diagnosis