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

- Ivan Stankovic, MD,
Cardiac tamponade ... Echocardiogram - PSAX ... Stankovic, MD, PhD ... #clinical #cardiology ... #pocus
Pulse Abnormalities - Differential Diagnosis Algorithm
Unequal/DeIayed:
 • Obstructive arterial disease (ie. Atherosclerosis)
 • Aortic dissection
 •
- Differential Diagnosis ... amplitude with alternate ... pressure >10mmHg: • Cardiac ... tamponade • AECOPD ... Abnormalities #Disorders #Cardiology
Life Threatening Causes of Chest Pain - Differential Diagnosis Table

 • ACS
 • Aortic Dissection
 •
Causes of Chest Pain ... • ACS • Aortic ... Pneumothorax • Cardiac ... Tamponade • Esophageal ... Matthew Ho, MD PhD
Pericardial Tamponade
Beck's Triad 
1. Hypotension 
2. Jugular venous distension 
3. Muffled heart sounds 
Patient will be
dyspnea and chest pain ... QRS, electrical alterans ... #Pericardial #Cardiac ... #Triad #Diagnosis ... #Cardiology
Type B Aortic Dissection Flap on POCUS Echocardiogram - PLAX

Elderly male with hypertension and DM presents
Flap on POCUS Echocardiogram ... presents with chest pain ... Diagnosis? ... Dissection #Flap #POCUS ... #Cardiology #clinical
Chest Pain - Differential Diagnosis Framework

Cardiovascular Causes of Chest Pain:
 • Myocardium:
	- Myocarditis
	- CAD/ACS
	- Valvulopathy
	- Myopericarditis
Diagnosis Framework ... Vascular: - Aortic ... Pericarditis - Tamponade ... Gastritis - PUD ... #Causes #Cardiology
Stroke Volume & Cardiac Output Measurement on POCUS
Accurately measure LVOT diameter:
1. Obtain PLAX 
2. Zoom to
Stroke Volume & Cardiac ... Measurement on POCUS ... Obtain PLAX 2. ... systole, 1cm from aortic ... #cardiology
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
Chest Pain - Diagnosis ... infarction • Aortic ... Pulmonary embolism • Cardiac ... tamponade • Esophageal ... Matthew Ho, MD PhD
Aortic Dissection on POCUS Echocardiogram - PSAX view
Patient presented with chest pain.
TEE sens (97-99%), TTE sens
Aortic Dissection ... - PSAX view Patient ... presented with chest pain ... pericardial effusion/tamponade ... #clinical #cardiology
Intracardiac Rhabdomyomas on Echocardiogram

Huge cardiac masses...initially diagnosed in utero, mass just beneath the aortic valve Anguished
Echocardiogram Huge cardiac ... masses...initially diagnosed ... just beneath the aortic ... Echocardiogram #clinical #cardiology ... #pocus #plax