19 results
Cardiac Amyloidosis

Huge Atria, Thick LV and IntraAtrial Septum with Apical Sparing

- Juan Lopez-Mattei, MD
@onco_cardiology

#Amyloidosis #Echocardiogram #POCUS
Cardiac Amyloidosis ... Huge Atria, Thick ... #Echocardiogram ... POCUS #Clinical #Cardiology ... #Cardiac #SC4C
Cardiac Amyloid - Diagnosis, Signs, Symptoms and Management

Clinical Presentation
- exertional dyspnea
- peripheral edema
- exertional syncope
- peripheral
Cardiac Amyloid ... despite hx HTN) EKG ... precordial leads) - atrial ... cardionerds #Amyloidosis ... Signs #Symptoms #Cardiology
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
Approach to ECGs ... (3) SVTs - atrial ... tachy not from SA node ... electrocardiogram #cardiology ... #differential
Amyloidosis - Summary
Group of disorders associated with extracellular deposition of fibrils formed from low-molecular-weight proteins in
in AA and AL Cardiac ... Amyloid typing Cardiac ... Testing: • EKG ... • Echocardiogram ... disproportionate atrial
Amyloidosis on POCUS Echocardiogram - Parasternal long axis (PLAX)
Pt with systemic AL amyloidosis presents with 1
Echocardiogram ... thickening and biatrial ... with cardiac involvement ... #Cardiac #POCUS ... #Cardiology #PLAX
Amyloidosis on POCUS Echocardiogram - Apical 4 Chamber (A4C)
Pt with systemic AL amyloidosis presents with 1
Echocardiogram ... thickening and biatrial ... with cardiac involvement ... #Cardiac #POCUS ... #Cardiology #A4C
Amyloidosis on POCUS Echocardiogram - Subcostal 4 Chamber (S4C)
Pt with systemic AL amyloidosis presents with 1
Echocardiogram ... thickening and biatrial ... with cardiac involvement ... #Cardiac #POCUS ... #Cardiology #S4C
Amyloidosis on POCUS Echocardiogram - Parasternal short axis (PSAX)
Pt with systemic AL amyloidosis presents with 1
Echocardiogram ... thickening and biatrial ... with cardiac involvement ... #Cardiac #POCUS ... #Cardiology #PSAX
Hemorrhagic Pericardial Effusions (Hemopericardium)- Differential Diagnosis Framework

IATROGENIC DISEASE
Secondary to invasive cardiac procedures

NONIATROGENIC
• Malignancy (e.g., metastatic spread:
Hemopericardium)- Differential ... Secondary to invasive cardiac ... • Malignancy (e.g ... Primary systemic amyloidosis ... #Diagnosis #cardiology
Premature Ventricular Complexes (PVC's) - Summary Framework

Why PVCs?  Can be the first manifestation of cardiac
manifestation of cardiac ... capture of the atria ... may not occur Differential ... arrhythmia • Atrial ... #cardiology