14 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 POCUS Echocardiogram - Subcostal View

Young Lupus patient admitted to hospital new onset HFpEF.
on POCUS Echocardiogram ... Also has pericardial ... effusion/pericardial ... Hypertensive without RA/RV ... #clinical #cardiology
Constrictive Pericarditis on POCUS Echocardiogram - Apical 3-Chamber View

Young Lupus patient admitted to hospital new onset
on POCUS Echocardiogram ... Also has pericardial ... effusion/pericardial ... evidence of RA/RV ... #clinical #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 ... CardiacMRI #clinical #cardiology ... #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
Hemorrhagic Pericardial Effusion with Tamponade on POCUS

In an unstable pt w/ chest trauma, subxiphoid view FIRST!

-
Hemorrhagic Pericardial ... with Tamponade on POCUS ... unstable pt w/ chest ... Effusion #Tamponade #Cardiac ... #POCUS #cardiology
Malignant Pericardial Effusion causing Cardiac Tamponade on Echocardiogram (S4c)
Hypotensive + respiratory distress. At first glance you
Malignant Pericardial ... Effusion causing Cardiac ... you might think "RV ... echocardiogram #POCUS ... #cardiology