LGV lv a4c s4c pocus lachmans psax dissection thrombus ventricular clinical anatomy mcconnells vfib

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This 24M presented with acute onset CP/SOB, hypoxia, HR 150s. What's the diagnosis? Treatment options? Hint:

Thrombus in transit ... later with normal LV ... #Clinical #POCUS ... Echocardiogram #A4C ... #McConnells #Sign

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LV Apical Thrombus on Echocardiogram

Ivan Stankovic, MD, PhD @Ivan_Echocardio

#LV #ventricular #Apical #Thrombus #a4c #Echocardiogram #clinical #cardiology

LV Apical Thrombus ... Ivan_Echocardio #LV ... #ventricular #Apical ... #Thrombus #a4c ... #cardiology #pocus

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McConnell's Sign in RV Infarct
This patient arrived as a STEMI alert. Apical 4-chamber view showing a

Sign); LV function ... #Sign #clinical ... #POCUS #Echocardiogram ... #A4C #cardiology ... #anatomy #labeled

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LV Pseudoaneurysm

• False “pseudo” aneurysm: rupture w/ blood contained *outside* wall layers. (case below)

• True aneurysm:

LV Pseudoaneurysm ... HeartToProve #LV ... #Clinical #POCUS ... #CardiacMRI #PSAX ... #A4C #Echocardiogram

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Ventricular Fibrillation on POCUS Echocardiogram - Subcostal 4 Chamber

50's male witnessed arrest. Unknown hx. AED no

Ventricular Fibrillation ... fine quivering of LV ... RJonesSonoEM #Ventricular ... #S4C #POCUS #Echocardiogram ... ultrasound #Cardiology #clinical

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Ventricular Fibrillation on POCUS Echocardiogram - Parasternal Short Axis

50's male witnessed arrest. Unknown hx. AED no

Ventricular Fibrillation ... SC from first break ... fine quivering of LV ... #PSAX #POCUS #Echocardiogram ... ultrasound #Cardiology #clinical

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Huge mural thrombus occupying 1/3 the LV.
MI effecting [LAD territory]

In PLAX view, The unechoic line between

occupying 1/3 the LV ... territory] In PLAX ... #clinical #cardiology ... echocardiogram #pocus ... #a4c

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