31 results
Pericardial Constriction on Echocardiogram with Septal Bounce

Fantastic example of pericardial constriction. Not only a nice septal
Pericardial Constriction ... constriction. ... #Constriction # ... Echocardiogram #clinical #cardiology ... #POCUS #a4c #bounce
Pathophysiology Of Constriction
Exaggerated Ventricular Interdependence:
 • Limited Cardiac Filling due to Fixed Volume → Septum Shifts
Interdependence: • Limited Cardiac ... Cessation due to Stiff Pericardium ... (pulmonary vasculature ... pulmonary capillaries ... pathophysiology #cardiology
Right-Sided Heart Failure - Differential Diagnosis Algorithm
Cardiac Causes - Rule out Left-Sided Heart Failure (Most Common):
Diagnosis Algorithm Cardiac ... Regurgitation - Pericardium ... • Constrictive ... Pericarditis • Pericardial ... #HeartFailure #Cardiology
Cardiac Rupture with Pericardial Effusion

Apical 4 chamber. Note larger right sided pericardial effusion with significant compression
with Pericardial ... larger right sided pericardial ... #pericardial #effusion ... Echocardiogram #ultrasound #Cardiology ... #A4c #clinical
Constrictive Pericarditis on POCUS Echocardiogram - Subcostal View

Young Lupus patient admitted to hospital new onset HFpEF.
Constrictive Pericarditis ... Also has pericardial ... effusion/pericardial ... Echocardiogram #clinical #cardiology ... #s4C #SeptalBounce
Constrictive Pericarditis on POCUS Echocardiogram - Apical 3-Chamber View

Young Lupus patient admitted to hospital new onset
Constrictive Pericarditis ... Also has pericardial ... effusion/pericardial ... Echocardiogram #clinical #cardiology ... #A3C #SeptalBounce
Pulmonary Artery Catheter Pressures
Normal: RA 0-8, RV 15-25/0-8, Mean PAP <25, PCWP 8-12, Cardiac Index 2.6-4.2
HFrEF,
Pulmonary Artery ... 25, PCWP 8-12, Cardiac ... decompensated Pulmonary ... Shunt Tamponade/Constrictive ... #Hemodynamics #Cardiology
Constrictive Pericarditis on Echocardiogram
A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness
Constrictive Pericarditis ... circumferential pericardial ... OKiamanesh #Constrictive ... Echocardiogram #a4c ... pocus #clinical #cardiology
Causes of Chronic Dyspnea - Differential Diagnosis Algorithm
Pericardial
 • Effusion
 • Cardiac Tamponade*
 • Constriction
Myocardial
 •
Diagnosis Algorithm Pericardial ... • Effusion • Cardiac ... Tamponade* • Constriction ... • Neoplasm Pulmonary ... Vessels • Pulmonary
Constrictive Pericarditis on Cardiac MRI

MRI shows ventricular interdependence and re-demonstrates the thickened pericardium. 

Dr. Omid Kiamanesh
Constrictive Pericarditis ... on Cardiac MRI ... the thickened pericardium ... OKiamanesh #Constrictive ... #radiology #chest