54 results
Hypertrophic Cardiomyopathy (HOCM) - Diagnosis and Management
Diagnosis
 1. Wall thickness 215 mm (TTE/CT/MRI) 
 2. Absence
Diagnosis and Management ... 215 mm (TTE/CT/MRI ... Supportive: genetic testing ... , LGE on MRI) Four ... Prevent Sudden Cardiac
Cardiac Stress Testing
Exercise:
 • Everyone who can exercise should!
 • They must be able to raise
Cardiac Stress Testing ... ($$$), PET CT/MRI ... COREIMpodcast #Cardiac ... #Stress #Testing ... #cardiology #management
Syncope Diagnostic Testing and Evaluation: Cost Effectiveness
Frequency obtained - Abnormal findings - Helped determine etiology of
Syncope Diagnostic Testing ... ECG, Telemetry, Cardiac ... /S, EEG, Brain MRI ... , Cardiac stress ... diagnosis #workup #testing
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Cardiovascular MRI ... Abnormal ECG, echocardiogram ... shock, sudden cardiac ... death Management ... Myocarditis #Diagnosis #Management
Takotsubo Cardiomyopathy on POCUS

78 year old woman - Acute delirium but complaining of chest pain 
ECG:
chest leads Cardiac ... MRI: https://www.grepmed.com ... Ultrasound #Clinical #Echocardiogram
Management Algorithm for Confusion
- Substrate verification, glucose, oxygen checks
- Toxidrome present
- Focal findings on neurologic examination
-
Management Algorithm ... criteria - ED testing ... CSF, thyroid, MRI ... AlteredMentalStatus #Delirium #Management
Invasive Candidiasis (IC)

Diagnosis:
Culture:
 • Gold standard, but Slow (~2-3 days), 50% sensitivity
 • Blood Sample
 •
susceptibility testing ... Additional management ... Diseases Consults • Echocardiogram ... antifungal #diagnosis #management
Electrolyte Repletion
Potassium 
  - ref range 3.5-4.5
  - if acute MI, cardiac conditions >4.5
- if acute MI ... , cardiac conditions ... CAD or active cardiac ... Electrolyte #Repletion #management
Syncope Cost-Effectiveness Workup
Cost-effective tests for most patients: 
 • Orthostatic BP
 • ECG
 • Telemetry (if
indications: • Echocardiogram ... Carotid US • Brain MRI ... • EEG • Cardiac ... stress testing ... • Cardiac Enzymes
RV Strain in Pulmonary Embolism on POCUS Echocardiogram

A patient is brought by EMS intubated and hypotensive.
Embolism on POCUS Echocardiogram ... your next step in management ... In the setting of ... Embolism #POCUS #Echocardiogram