14 results
Coronary Artery Embolism - Etiology and Scoring
Etiology:
 • Direct: Clot (LV thrombus, LAA Thrombus), Valve (Vegetation,
Direct: Clot (LV ... ), Valve (Vegetation ... Angiography or Cardiac ... embolization Wlo LV ... PFO, ASD, h/o of cardiac
24 yo M sent from clinic to ED for + blood cultures. POCUS shows aortic valve
POCUS shows aortic valve ... vegetation. ... Also, LV dilation ... Clinical #POCUS #Echocardiogram ... #Cardiac #PLAX
Causes of Primary and Functional Mitral Regurgitation (MR) 
Causes of primary mitral regurgitation
 - Rheumatic heart
Vegetations seen ... chest wall trauma, LV ... valve - Secondary ... produced by LV ... dyssynchrony which may lead
Complex mitral valve endocarditis with pericardial effusion, myocardial abscess, and reduced LV systolic function - Echocardiogram
Complex mitral valve ... endocarditis with pericardial ... abscess, and reduced LV ... systolic function - Echocardiogram ... abscess #plax #Echocardiogram
LV Thrombus on POCUS (PLAX)

60 yo man with PMH of dilated cardiomyopathy comes to ED with
LV Thrombus on POCUS ... atached to the mitral ... valve, but to the ... LV wall." ... #Echocardiogram
Cardiac LV Thrombus on Echocardiogram Short-Axis View (PSAX)
48 year old woman in ICU for acute ischemic
Cardiac LV Thrombus ... on Echocardiogram ... considered (principally vegetation ... are all of some value ... #Cardiac #LV #Echocardiogram
Cardiac LV Thrombus on Echocardiogram (A4C)
48 year old woman in ICU for acute ischemic limb. PMHx
Cardiac LV Thrombus ... on Echocardiogram ... considered (principally vegetation ... are all of some value ... #Cardiac #LV #Echocardiogram
Huge mural thrombus occupying 1/3 the LV.
MI effecting [LAD territory]

In PLAX view, The unechoic line between
Huge mural thrombus ... occupying 1/3 the LV ... MI effecting [LAD ... #Thrombus #clinical ... #cardiology #echocardiogram
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
• Prosthetic valve ... Involves aortic and mitral ... occlusion that may lead ... formation • Other vegetations ... -mm left sided vegetations
Evaluation of suspected incomplete Kawasaki Disease

1. AHA consensus recommendations
2. Infants ≤6 months old on day ≥7
inflammation is found, an echocardiogram ... before performing echocardiogram ... tapering, decreased LV ... function, mitral ... regurgitation, pericardial