18 results
Cardiac Rupture with Pericardial Effusion

Apical 4 chamber. Note larger right sided pericardial effusion with significant compression
with Pericardial Effusion ... Note larger right ... sided pericardial effusion ... MyocardialInfarction #AMI #POCUS ... Echocardiogram #ultrasound #Cardiology
Syncope - Differential Diagnosis Algorithm
Neurocardiogenic:
 • Vasovagal
 • Orthostatic Hypotension
 • Autonomic Neuropathy
 • Situational (micturition,
Differential Diagnosis Algorithm ... Contractility: • MI ... • Constrictive Pericarditis ... Sinus Syndrome (SA Node ... Syndrome #Syncope #Cardiology
Constrictive Pericarditis on POCUS Echocardiogram - Apical 3-Chamber View

Young Lupus patient admitted to hospital new onset
on POCUS Echocardiogram ... Note the septal ... has pericardial effusion ... with similar peri effusion ... #clinical #cardiology
Constrictive Pericarditis on POCUS Echocardiogram - Subcostal View

Young Lupus patient admitted to hospital new onset HFpEF.
on POCUS Echocardiogram ... Note the septal ... has pericardial effusion ... similar sized effusion ... #clinical #cardiology
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Cardiovascular MRI ... • Chest pain, pericarditis ... shock, sudden cardiac ... death Management ... #Cardiology
Constrictive Pericarditis on Echocardiogram
A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness
Constrictive Pericarditis ... circumferential pericardial effusion ... septal shudder by M‐mode ... Echocardiogram #a4c #pocus ... #clinical #cardiology
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Diagnosis and Management ... Consider IL NS/LR infusion ... > Constrictive pericarditis ... Shock - MI ... Cardiac surgery?
Cardiac MRI in Evaluation of Pericardial Disease

Tl-weighted fast spin echo - Morphological assessment of the pericardium
Cardiac MRI in Evaluation ... • Pericardial effusion ... #Pericardial #Pericarditis ... #Cardiology #Diagnosis ... #Radiology
Stages in the development of HF and recommended therapy by stage. ACEI indicates angiotensin-converting enzyme inhibitor;
disease; CRT, cardiac ... circulatory support; and MI ... Stages #ACCAHA #Algorithm ... #Management #Cardiology
Hemopericardium and Cardiac Tamponade on POCUS Echocardiogram

Next best step for this 25yo male (SBP 70)?
Resolution: pericardiocentesis
Hemopericardium and Cardiac ... Tamponade on POCUS ... to definitive managemt ... #Tamponade #Effusion ... #Pericardial #Cardiology