26 results
Takotsubo Cardiomyopathy on POCUS

78 year old woman - Acute delirium but complaining of chest pain 
ECG:
year old woman - Acute ... of chest pain ECG ... Cardiomyopathy #POCUS #Ultrasound ... #Clinical #Echocardiogram ... #Cardiology
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
Manage acute cardiac ... injury 4. ... Fulminant: - Acute ... HF, Cardiogenic ... VF, Myocardial injury
Taktosubo MIMIC on Echocardiogram A4C

ECG with anterolateral T wave inversions. Acute 99% LAD lesion + 70%
Taktosubo MIMIC on Echocardiogram ... A4C ECG with ... Acute 99% LAD lesion ... Taktosubo #mimic #Echocardiogram ... clinical #pocus #cardiology
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
gallop • Abnormal ECG ... , echocardiogram ... Elevated troponin • Cardiogenic ... Diagnosis #Management #Cardiology
Typical ECG changes in acute pericarditis includes: stage 1 - diffuse, positive, ST elevations with reciprocal
Typical ECG changes ... in acute pericarditis ... indicates atrial injury ... patients) stage 4 - ECG ... Diagnosis #EM #IM #Cardiology
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Evaluation - EKG ... drained if causing acute ... (no B-lines on ultrasound ... treatment for acute ... #HeartFailure #Cardiology
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
DETROIT CARDIOGENIC ... INCLUSION CRITERIA Acute ... Ischemic Symptoms  EKG ... visualization with use of ultrasound ... Initiative #Management #Cardiology
Noncardiogenic Pulmonary Edema - Differential Diagnosis Framework

NCPE Pathophysiology:
Noncardiogenic pulmonary edema occurs because of excessive pulmonary capillary
• A lack of acute ... level <100 pg/ml EKG ... use causing non-cardiogenic ... lung injury (TRALI ... differential #diagnosis #cardiology
Myocarditis - Diagnosis and Causes
 • Clinical presentation: Pseudo-acute coronary syndrome, Cardiac failure <3 rnonths, Cardiogenic
presentation: Pseudo-acute ... failure <3 rnonths, Cardiogenic ... Paraclinical assessment: EKG ... Diagnosis #Causes #cardiology
Evaluation of mechanical valves of Total Artificial Heart with no contrast
This is a cardiac CT with
avoided due to acute ... kidney injury). ... has no heart, we ECG-gated ... with an ECG simulator ... CTS #clinical #radiology