22 results
Cardiac tamponade - a swinging heart of electrical alternans on Echocardiogram - PSAX

- Ivan Stankovic, MD,
Cardiac tamponade ... of electrical alternans ... Echocardiogram - PSAX ... #clinical #cardiology ... #pocus
Pericardial Tamponade
Beck's Triad 
1. Hypotension 
2. Jugular venous distension 
3. Muffled heart sounds 
Patient will be
chest pain - PE ... paradoxus - ECG ... QRS, electrical alterans ... #Pericardial #Cardiac ... Triad #Diagnosis #Cardiology
Pulse Abnormalities - Differential Diagnosis Algorithm
Unequal/DeIayed:
 • Obstructive arterial disease (ie. Atherosclerosis)
 • Aortic dissection
 •
amplitude with alternate ... pressure >10mmHg: • Cardiac ... tamponade • AECOPD ... Abnormalities #Disorders #Cardiology ... Diagnosis #Algorithm #causes
Postoperative Hemorrhagic Pericardial effusion with Left Ventricular Compression and Tamponade

- Reza Karimianpour, D.O. https://twitter.com/officialdrk12

#Postoperative #Pericardial #Effusion
Compression and Tamponade ... LVCompression #Tamponade ... #Cardiac #PLAX ... #POCUS #Ultrasound ... Echocardiogram #Clinical #Cardiology
Large Pericardial Effusion on POCUS 

Good example of swinging heart in pre tamponade. Reason for electrical
Pericardial Effusion on POCUS ... swinging heart in pre tamponade ... for electrical alternans ... EKG from same patient ... A4C #Clinical #Cardiology
Massive Pericardial Effusion on Echocardiogram (PLAX and M-Mode) demonstrating ECG alternans motion
Massive pericardial effusion, female metastatic
demonstrating ECG ... alternans motion ... malignant #clinical #cardiology ... #pocus #PLAX #MMode ... #electrical #alternans
EKG in Acute Pulmonary Embolism
The sensitivity and specificity for EKG findings in acute PE are low.
EKG
findings in acute PE ... evaluating for other causes ... of cardio-pulmonary ... supporting evidence of PE ... AcutePE #diagnosis #cardiology
Short axis of this echo is mesmerizing: Malignant effusion in a young pt. Notice subtle electrical
subtle electrical alternans ... on the ECG. ... PericardialEffusion #Clinical #POCUS ... Echocardiogram #PSAX ... ElectricalAlternans #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 ... Nuclear SPECT ($$$), PET ... Stress #Testing #cardiology
Complex Pericardial Effusion with Tamponade on POCUS Echocardiogram - PLAX
Pt sent to ED c intradialytic hypotension.
on POCUS Echocardiogram ... K 5.9 without EKG ... Pericardial #Effusion #Cardiac ... #Tamponade #POCUS ... #clinical #cardiology