13 results
Pericardial Tamponade
Beck's Triad 
1. Hypotension 
2. Jugular venous distension 
3. Muffled heart sounds 
Patient will be
Pericardial Tamponade ... of dyspnea and chest ... diastolic collapse of RV ... #Cardiac #Tamponade ... Triad #Diagnosis #Cardiology
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 ... #Constrictive #Pericarditis ... #radiology #chest
Cardiac MRI in Evaluation of Pericardial Disease

Tl-weighted fast spin echo - Morphological assessment of the pericardium
Cardiac MRI in Evaluation ... quantification of cardiac ... effects such as RV ... #Pericarditis # ... Cardiology #Diagnosis
Kussmaul's sign in Constrictive Pericarditis 

A 50-year-old woman with a remote history of mediastinal lymphoma (age
in Constrictive Pericarditis ... blue marks on her chest ... Causes = RV failure ... extra sound is a pericardial ... #Cardiology
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
intolerance • Chest ... pain, pericarditis ... shock, sudden cardiac ... death Management ... #Cardiology
Pathophysiology Of Constriction
Exaggerated Ventricular Interdependence:
 • Limited Cardiac Filling due to Fixed Volume → Septum Shifts
Interdependence: • Limited Cardiac ... to Accommodate RV ... Cessation due to Stiff Pericardium ... #constrictive #pericarditis ... pathophysiology #cardiology
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Diagnosis and Management ... > Constrictive pericarditis ... , Pericardial Tamponade ... Cardiac surgery? ... #Summary #criticalcare
Shock Types - Classification
State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Puimonary vascular → RV ... pneumothorax, cardiac ... , constrictive pericarditis ... types #diagnosis #management ... #criticalcare #
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
Chest x-ray: signs ... of obstructive epicardial ... Consider cardiac ... heartfailure #diagnosis #management ... #cardiology #pharmacology
Perhaps quite too often, the knee-jerk reaction to an elevated Troponin is to call our friends
our friends from Cardiology ... of the resting cardiac ... right side as the RV ... #diagnosis #management ... foamed #algorithm #criticalcare