15 results
Takotsubo Cardiomyopathy on POCUS

78 year old woman - Acute delirium but complaining of chest pain 
ECG:
of chest pain ECG ... leads Cardiac MRI ... Cardiomyopathy #POCUS #Ultrasound ... #Clinical #Echocardiogram ... #Cardiology
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Cardiovascular MRI ... gallop • Abnormal ECG ... , echocardiogram ... cardiac death Management ... #Cardiology
LVOTO due to SAM on POCUS Echocardiogram

Septic patient after IV fluids and initiation of Levophed. Worsening
to SAM on POCUS Echocardiogram ... Management? ... #Systolic #Anterior ... #HOCM #POCUS #Echocardiogram ... #ultrasound #Cardiology
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Embolism on POCUS Echocardiogram ... Triage EKG (no prior ... Sister had MI in ... Differential/diagnosis ... A4c #clinical #cardiology
Anterior Akinesia on POCUS Echocardiogram

Wide complex rhythm seen on monitor. Pulses present. While getting 12 lead
on POCUS Echocardiogram ... getting 12 lead ECG ... ECG obtained. ... #PLAX #POCUS #Echocardiogram ... #ultrasound #Cardiology
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
- Ischemia MI ... in avL - early inferior ... #Ischemia #ECG ... electrocardiogram #cardiology ... Interpretation #differential
Anterior Hypokinesis on POCUS Echocardiogram

A 69yo female with history of hypertension presents with 30min shortness of
on POCUS Echocardiogram ... best choice for management ... previous hx of MI ... #POCUS #Echocardiogram ... #clinical #cardiology
Pulmonary Embolism on ECG 

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Sister had MI in ... Differential/diagnosis ... inversions V1-V4 plus inferior ... Pulmonary #Embolism #ECG ... #clinical #cardiology
Septal Hypertrophic Cardiomyopathy (HOCM)

52yo worsening exertional sx and murmur. EKG nonspecific, Serial trops (-) 
EM resident
EKG nonspecific, ... elevated LVEDP ==> MRI ... Metoprolol - VCU Ultrasound ... HCM #clinical #echocardiogram ... #plax #cardiology
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Cardiogenic Shock - Management ... (no B-lines on ultrasound ... treatment for acute MI ... #HeartFailure #Cardiology ... #Management