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Cardiac Amyloidosis

Huge Atria, Thick LV and IntraAtrial Septum with Apical Sparing

- Juan Lopez-Mattei, MD
@onco_cardiology

#Amyloidosis #Echocardiogram #POCUS
Cardiac Amyloidosis ... Huge Atria, Thick LV ... onco_cardiology #Amyloidosis ... #Echocardiogram ... Clinical #Cardiology #Cardiac
Cardiac Findings in Sarcoidosis
Most Commonly Affected Sites:
 - LV free wall (esp. basal posterior wall)
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Cardiac Findings ... (esp. basal) LV ... dysfunction or pulmonary ... hypertension Pericardial ... Abnormal a-wave #Cardiac
Hemorrhagic Pericardial Effusions (Hemopericardium)- Differential Diagnosis Framework

IATROGENIC DISEASE
Secondary to invasive cardiac procedures

NONIATROGENIC
• Malignancy (e.g., metastatic spread:
Secondary to invasive cardiac ... patients with pulmonary ... OTHER RARE CAUSES ... • PRIMARY Cardiac ... Primary systemic amyloidosis
Amyloidosis on POCUS Echocardiogram - Parasternal short axis (PSAX)
Pt with systemic AL amyloidosis presents with 1
Echocardiogram ... Has new large pericardial ... with cardiac involvement ... #Cardiac #POCUS ... #clinical #Echocardiogram
Amyloidosis on POCUS Echocardiogram - Parasternal long axis (PLAX)
Pt with systemic AL amyloidosis presents with 1
Echocardiogram ... Has new large pericardial ... with cardiac involvement ... #Cardiac #POCUS ... #clinical #Echocardiogram
Amyloidosis on POCUS Echocardiogram - Apical 4 Chamber (A4C)
Pt with systemic AL amyloidosis presents with 1
Echocardiogram ... Has new large pericardial ... with cardiac involvement ... #Cardiac #POCUS ... #clinical #Echocardiogram
Amyloidosis on POCUS Echocardiogram - Subcostal 4 Chamber (S4C)
Pt with systemic AL amyloidosis presents with 1
Echocardiogram ... Has new large pericardial ... with cardiac involvement ... #Cardiac #POCUS ... #clinical #Echocardiogram
Right-Sided Heart Failure - Differential Diagnosis Algorithm
Cardiac Causes - Rule out Left-Sided Heart Failure (Most Common):
Diagnosis Algorithm Cardiac ... Causes - Rule out ... Regurgitation - Pericardium ... Pericarditis • Pericardial ... Causes: - Parenchyma
D-Sign in a lady with Massive PE - The LV should always be round like a
Massive PE - The LV ... When ↑ pulmonary ... LV takes shape of ... Clinical #POCUS #Cardiac ... #Echocardiogram
Tachypnea - Differential Diagnosis Framework

Definitions
 • Tachypnea: Respiratory rate > 20/min, shallow breathing in adults
 •
deep breathing Pulmonary ... motion (PVFM) Cardiac ... : • Pulmonary ... embolism • Cardiac ... ischemia • Pericardial