20 results
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
Algorithm History ... Pulmonary embolism • Cardiac ... tamponade • Esophageal ... : • EKG • Bedside ... ultrasound
Takotsubo Cardiomyopathy on POCUS

78 year old woman - Acute delirium but complaining of chest pain 
ECG:
of chest pain ECG ... chest leads Cardiac ... #POCUS #Ultrasound ... #Clinical #Echocardiogram ... #Cardiology
Yamaguchi cardiomyopathy on Electrocardiogram (EKG)
That time when a doctor tells you that you're "having a heart
Electrocardiogram (EKG ... Cardiac MR shows ... #ecg #ekg #electrocardiogram ... #hypertrophic #clinical ... #cardiology
Cardiac Tamponade - Guidelines for Crises in Anaesthesia
Caused by an accumulation of blood, pus, effusion fluid
Cardiac Tamponade ... iatrogenic causes, e.g ... help and inform clinical ... pericardiocentesis kit (eg ... Diagnosis #Management #Workup
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
Build clinical suspicion ... Manage acute cardiac ... Pericarditis, Tamponade ... EKG Findings: ... diagnosis #management #cardiology
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Setup - Ultrasound ... telemetry, 12-Lead EKG ... and Survey 4) Workup ... pericarditis, Pericardial Tamponade ... Cardiac surgery?
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
SHOCK INITIATIVE ALGORITHM ... Ischemic Symptoms  EKG ... visualization with use of ultrasound ... Fick calculated cardiac ... Initiative #Management #Cardiology
Yamaguchi cardiomyopathy on Echocardiogram (A4C)

ECG has been stable for years, she only feels unwell when in
Yamaguchi cardiomyopathy ... Echocardiogram (A4C) ECG ... Cardiac MR shows ... #hypertrophic #clinical ... #cardiology #pocus
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
(e.g., familial ... hemodynamics (e.g ... LVEF recovery (e.g ... teratogenic GDMT meds (e.g ... diagnosis #management #cardiology
Septal Hypertrophic Cardiomyopathy (HOCM)

52yo worsening exertional sx and murmur. EKG nonspecific, Serial trops (-) 
EM resident
Septal Hypertrophic Cardiomyopathy ... EKG nonspecific, ... Metoprolol - VCU Ultrasound ... #HOCM #HCM #clinical ... echocardiogram #plax #cardiology