14 results
Takotsubo Cardiomyopathy on POCUS

78 year old woman - Acute delirium but complaining of chest pain 
ECG:
on POCUS 78 ... of chest pain ECG ... leads Cardiac MRI ... #Clinical #Echocardiogram ... #Cardiology
Restrictive Cardiomyopathy - Diagnosis and Causes
Clinical: Dyspnea, Exercise Intolerance, ↑ "Right Sided-Symptoms" (ascites, hepatomegaly, ↑↑peripheral edema)
Physical
Diagnosis and Causes ... Clinical: Dyspnea ... Physical Exam: ↑JVP ... #differential #cardiology ... #algorithm
Kussmaul's Sign on Physical Exam

What’s the diagnosis?
Severe biventeicular failure with + Kussmaul sign! NICM. No constriction!

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Kussmaul's Sign ... constriction, restrictive cardiomyopathy ... and other rarer causes ... #physicalexam #clinical ... #video #jvp #cardiology
Ruptured Chordae Tendineae on POCUS Echocardiogram
 
Many underlying causes, not limited to: MVP, subacute endocarditis, connective
Many underlying causes ... not limited to: MVP ... Assess for MR when ... Echocardiogram #Ultrasound #Clinical ... #Cardiology #MitralValve
Kussmaul's #sign is the paradoxical increase or failure to fall of mean #JVP with inspiration. Commonest
Kussmaul's #sign ... fall of mean #JVP ... Constriction, restrictive cardiomyopathy ... #PhysicalExam #clinical ... #cardiology
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Triage EKG (no prior ... Sister had MI in ... RV, McConnell's sign ... Echocardiogram #A4c #clinical ... #cardiology #McConnells
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
EKG of the same ... to diagnose the case ... that’s called “clinical ... #Cardiology #Neck ... #Frog #Sign
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
Septal Hypertrophic Cardiomyopathy (HOCM)

52yo worsening exertional sx and murmur. EKG nonspecific, Serial trops (-) 
EM resident
EKG nonspecific, ... elevated LVEDP ==> MRI ... #HOCM #HCM #clinical ... echocardiogram #plax #cardiology ... #pocus
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
exclude other causes ... ancestry, LGE on MRI ... Clinical • Under-recognized ... support for patients clinically ... diagnosis #management #cardiology