19 results
Hypertrophic Cardiomyopathy (HOCM) - Diagnosis and Management
Diagnosis
 1. Wall thickness 215 mm (TTE/CT/MRI) 
 2. Absence
215 mm (TTE/CT/MRI ... Absence of Secondary Cause ... testing, LGE on MRI ... ) Four P's of Prevention ... #Cardiology
Cardiac Stress Testing
Exercise:
 • Everyone who can exercise should!
 • They must be able to raise
Cardiac Stress Testing ... production to cause ... ($$$), PET CT/MRI ... Stress #Testing #cardiology ... #management #diagnosis
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Cardiovascular MRI ... Abnormal ECG, echocardiogram ... shock, sudden cardiac ... death Management ... #Cardiology
Stages in the development of HF and recommended therapy by stage. ACEI indicates angiotensin-converting enzyme inhibitor;
disease; CRT, cardiac ... circulatory support; and MI ... #CHF #Congestive ... ACCAHA #Algorithm #Management ... #Cardiology
STAGES of CHF (A, B, C, D), however, describe the severity of structural abnormalities that impair
STAGES of CHF (A ... flare ups that cause ... Treatments may include: cardiac ... #Management #Cardiology ... #CHF #Congestive
TOPCAT - Spironolactone for Heart Failure with Preserved Ejection Fraction

N Engl J Med 2014; 370:1383-1392 https://www.nejm.org/doi/10.1056/NEJMoa1313731

CONCLUSIONS:
cardiovascular causes ... , aborted cardiac ... hospitalization for the management ... Spironolactone #HFpEF #dCHF ... #Cardiology #EBM
Gout (Gouty Arthritis) - MSK Radiology
Imaging Findings:
 • Eccentric soft-tissue densities surrounding the third proximal interphalangeal
Arthritis) - MSK Radiology ... Case description ... • PVNS/Giant Cell ... #clinical #Radiology ... diagnosis #msk #rheumatology
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
exclude other causes ... ancestry, LGE on MRI ... May have typical HF ... and timing with Cardio-OB ... #cardiology #treatment
Quincke's Pulse in a patient with a normal echocardiogram (non-valvular)

A 70 y/o man presents with new
with a normal echocardiogram ... dyspnea, orthopnea/PND ... confirm high-output HF ... Workup for cause ... Fingernails #Nailbed #Cardiology
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
effusions). 1/5 pts ... Consider cardiac ... heartfailure #diagnosis #management ... #cardiology #pharmacology ... #sCHF