29 results
Cardiac Rupture with Pericardial Effusion

Apical 4 chamber. Note larger right sided pericardial effusion with significant compression
Cardiac Rupture ... pericardial #effusion #tamponade ... MyocardialInfarction #AMI #POCUS #Echocardiogram ... #ultrasound #Cardiology ... #A4c #clinical
Pericardial Tamponade in a Shock Patient

Watch how the heart collapses and struggles to beat in surrounding
in a Shock Patient ... good enough at diagnosing ... @EM_RESUS #Clinical ... #POCUS #Echocardiogram ... #Cardiac #Tamponade
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
HF, Cardiogenic shock ... Pericarditis, Tamponade ... block, Aberrancy, VT ... #Myocarditis #diagnosis ... #management #cardiology
Pulse Abnormalities - Differential Diagnosis Algorithm
Unequal/DeIayed:
 • Obstructive arterial disease (ie. Atherosclerosis)
 • Aortic dissection
 •
Algorithm Unequal ... pressure >10mmHg: • Cardiac ... tamponade • AECOPD ... • Hypovolemic shock ... Abnormalities #Disorders #Cardiology
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Myocarditis Diagnosis ... Abnormal ECG, echocardiogram ... • Cardiogenic shock ... , sudden cardiac ... #Management #Cardiology
Malignant Pericardial Effusion causing Cardiac Tamponade on Echocardiogram (A4c)
Hypotensive + respiratory distress. At first glance you
Tamponade on Echocardiogram ... tamponade! ... #Tamponade #clinical ... #echocardiogram ... #POCUS #cardiology
Tamponade Masked in Pulmonary Hypertension

Signs of Tamponade can be masked by pulmonary hypertension! 1.2L drained. Read
Tamponade Masked ... sided collapse) #Clinical ... #POCUS #Cardiology ... #Echocardiogram ... #A4C #Cardiac #
Syncope - Differential Diagnosis Algorithm
Neurocardiogenic:
 • Vasovagal
 • Orthostatic Hypotension
 • Autonomic Neuropathy
 • Situational (micturition,
- Differential Diagnosis ... Algorithm Neurocardiogenic ... • Migraine Cardiac ... Tamponade ... Syndrome #Syncope #Cardiology
Malignant Pericardial Effusion causing Cardiac Tamponade on Echocardiogram (S4c)
Hypotensive + respiratory distress. At first glance you
Tamponade on Echocardiogram ... (S4c) Hypotensive ... #Tamponade #clinical ... #echocardiogram ... #POCUS #cardiology
Hemopericardium and Cardiac Tamponade on POCUS Echocardiogram

Next best step for this 25yo male (SBP 70)?
Resolution: pericardiocentesis
Hemopericardium and Cardiac ... Echocardiogram ... managemt in this pt ... #clinical #Pericardial ... #Cardiology