12 results
Pericardial Tamponade
Beck's Triad 
1. Hypotension 
2. Jugular venous distension 
3. Muffled heart sounds 
Patient will be
Pericardial Tamponade ... 1. ... paradoxus - ECG ... #Cardiac #Tamponade ... Diagnosis #Cardiology
Amyloidosis on POCUS Echocardiogram - Apical 4 Chamber (A4C)
Pt with systemic AL amyloidosis presents with 1
presents with 1 ... thickening and biatrial ... appearance of heart on CXR ... Has new large pericardial ... #A4C
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
1. ... anterior descending (LAD ... Subepicardial atrial ... injury from pericardial ... aVR • Classic EKG
Amyloidosis on POCUS Echocardiogram - Subcostal 4 Chamber (S4C)
Pt with systemic AL amyloidosis presents with 1
presents with 1 ... thickening and biatrial ... appearance of heart on CXR ... Has new large pericardial ... Echocardiogram #Cardiology
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
Ischemic Symptoms  EKG ... ACTIVATE CATH LAB ... Obtain femoral arterial ... Fick calculated cardiac ... IF LVEDP >15 or Cardiac
Complex Pericardial Effusion with Tamponade on POCUS Echocardiogram - A4C
Pt sent to ED c intradialytic hypotension.
Echocardiogram - A4C ... BUN/Cr- 128/9.4. ... stopped after 1 ... K 5.9 without EKG ... #Effusion #Cardiac
Rheumatic Heart Disease - Mitral Stenosis on Echocardiogram
(1) Thickened and fibrosed MV leaflets - rheumatic etiology
Echocardiogram (1) ... (4) All 4 cardiac ... (7) patient in atrial ... Echocardiogram #clinical #cardiology ... #a4c #thrombus
Amyloidosis on POCUS Echocardiogram - Parasternal long axis (PLAX)
Pt with systemic AL amyloidosis presents with 1
presents with 1 ... thickening and biatrial ... appearance of heart on CXR ... Has new large pericardial ... Echocardiogram #Cardiology
Amyloidosis on POCUS Echocardiogram - Parasternal short axis (PSAX)
Pt with systemic AL amyloidosis presents with 1
presents with 1 ... thickening and biatrial ... appearance of heart on CXR ... Has new large pericardial ... Echocardiogram #Cardiology
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
exam Determine Cardiac ... indicated • EKG ... Obtain EKG if: ... postoperative cardiac ... CARP, DECREASE V trials