12 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
Antecubital Vein examination to estimate JVP/CVP

In this video, the antecubital veins move between 

Below [RA +
E.g. in a cold room ... But in rare cases ... Antecubital #Vein #PhysicalExam ... #Clinical #Video ... #estimate #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 ... #Diagnosis #Causes ... #differential #cardiology
Kussmaul's Sign on Physical Exam

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

-
constriction, restrictive cardiomyopathy ... and other rarer causes ... Kussmauls #Sign #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
fall of mean #JVP ... Commonest cause ... Constriction, restrictive cardiomyopathy ... #Kussmauls #PhysicalExam ... #clinical #cardiology
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 ... Awaves #AVNRT #PhysicalExam ... #JVP #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
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