25 results
Cardiac Rupture with Pericardial Effusion

Apical 4 chamber. Note larger right sided pericardial effusion with significant compression
Note larger right ... pericardial #effusion #tamponade ... MyocardialInfarction #AMI ... #POCUS #Echocardiogram ... #ultrasound #Cardiology
Syncope - Differential Diagnosis Algorithm
Neurocardiogenic:
 • Vasovagal
 • Orthostatic Hypotension
 • Autonomic Neuropathy
 • Situational (micturition,
Differential Diagnosis Algorithm ... Contractility: • MI ... Tamponade ... Sinus Syndrome (SA Node ... Syndrome #Syncope #Cardiology
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
gallop • Abnormal ECG ... , echocardiogram ... shock, sudden cardiac ... death Management ... #Cardiology
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
SHOCK INITIATIVE ALGORITHM ... Ischemic Symptoms  EKG ... biomarker evidence of AMI ... DCSI #Initiative #Management ... #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 ... Pericarditis, Tamponade ... EKG Findings: ... Myocarditis #diagnosis #management ... #cardiology #summary
Tamponade Masked in Pulmonary Hypertension

Signs of Tamponade can be masked by pulmonary hypertension! 1.2L drained. Read
Tamponade Masked ... ultrasound_vcu (Editor: note ... Clinical #POCUS #Cardiology ... #Echocardiogram ... #A4C #Cardiac #
Hemopericardium and Cardiac Tamponade on POCUS Echocardiogram

Next best step for this 25yo male (SBP 70)?
Resolution: pericardiocentesis
Hemopericardium and Cardiac ... Echocardiogram ... to definitive managemt ... #POCUS #Echocardiogram ... #Pericardial #Cardiology
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Diagnosis and Management ... telemetry, 12-Lead EKG ... pericarditis, Pericardial Tamponade ... Shock - MI ... Cardiac surgery?
Anterior Akinesia on POCUS Echocardiogram

Wide complex rhythm seen on monitor. Pulses present. While getting 12 lead
Akinesia on POCUS Echocardiogram ... getting 12 lead ECG ... Consistent with AWMI ... ECG obtained. ... #ultrasound #Cardiology
Bradycardia
1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
O2, Monitors, ECG ... Shock, SBP <90, AMS ... pacemaker to Demand mode ... #differential #management ... #cardiology