24 results
Myocarditis - Diagnosis and Causes
 • Clinical presentation: Pseudo-acute coronary syndrome, Cardiac failure <3 rnonths, Cardiogenic
coronary syndrome, Cardiac ... Paraclinical assessment: EKG ... Troponin Increases, Cardiac ... hypokinesia, associated pericarditis ... #cardiology #MRI
Pericarditis can be seen on EKG with diffuse ST elevations without reciprocal changes along with diffuse
Pericarditis can ... be seen on EKG ... often follows a URI ... in refractory cases ... #Cardiology #Diagnosis
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Cardiovascular MRI ... • Chest pain, pericarditis ... gallop • Abnormal ECG ... shock, sudden cardiac ... Diagnosis #Management #Cardiology
Constrictive Pericarditis on POCUS Echocardiogram - Subcostal View

Young Lupus patient admitted to hospital new onset HFpEF.
on POCUS Echocardiogram ... could pinpoint the cause ... Also had medial ... #CP #POCUS #Echocardiogram ... #clinical #cardiology
Takotsubo Cardiomyopathy on POCUS

78 year old woman - Acute delirium but complaining of chest pain 
ECG:
Cardiomyopathy on POCUS ... of chest pain ECG ... chest leads Cardiac ... MRI: https://www.grepmed.com ... Echocardiogram #Cardiology
Cardiac Stress Testing
Exercise:
 • Everyone who can exercise should!
 • They must be able to raise
Cardiac Stress Testing ... production to cause ... arrythmias Diagnostics: EKG ... ($$$), PET CT/MRI ... Stress #Testing #cardiology
Syncope - Differential Diagnosis Algorithm
Neurocardiogenic:
 • Vasovagal
 • Orthostatic Hypotension
 • Autonomic Neuropathy
 • Situational (micturition,
• Migraine Cardiac ... Contractility: • MI ... • Constrictive Pericarditis ... Syndrome #Syncope #Cardiology ... Diagnosis #Algorithm #causes
Inpatient Cath Lab Indications
Cath Lab ASAP:
STEMI
NSTEMI:
1. Unstable/cardiogenic shock
2. Severe LV dysfunction or
3. Recurrent/persistent rest angina despite
despite intensive medical ... New/worsening MR ... low (1-2) risk, +ECG ... #Indications #Cardiac ... catheterization #cardiology
Constrictive Pericarditis on Echocardiogram
A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness
Constrictive Pericarditis ... had gained 15 kg ... Kussmaul's sign, marked pedal ... Echocardiogram #a4c #pocus ... #clinical #cardiology
Septal Hypertrophic Cardiomyopathy (HOCM)

52yo worsening exertional sx and murmur. EKG nonspecific, Serial trops (-) 
EM resident
EKG nonspecific, ... ) EM resident ... elevated LVEDP ==> MRI ... echocardiogram #plax #cardiology ... #pocus