20 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
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 ... structures and extra- pericardial ... pathophysiology #cardiology
Constrictive Pericarditis on POCUS Echocardiogram - Apical 3-Chamber View

Young Lupus patient admitted to hospital new onset
Also has pericardial ... effusion/pericardial ... evidence of RA/RV ... can be seen in tamponade ... Echocardiogram #clinical #cardiology
Right-Sided Heart Failure - Differential Diagnosis Algorithm
Cardiac Causes - Rule out Left-Sided Heart Failure (Most Common):
Diagnosis Algorithm Cardiac ... Regurgitation - Pericardium ... • Constrictive ... Tamponade Pulmonary ... #HeartFailure #Cardiology
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,
Normal: RA 0-8, RV ... 25, PCWP 8-12, Cardiac ... Right-to-Left Shunt Tamponade ... /Constrictive or ... #Hemodynamics #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 ... OKiamanesh #Constrictive ... #radiology #chest
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 ... tamponade! ... echocardiogram #POCUS #cardiology
Kussmaul's sign in Constrictive Pericarditis 

A 50-year-old woman with a remote history of mediastinal lymphoma (age
Kussmaul's sign in Constrictive ... blue marks on her chest ... Causes = RV failure ... extra sound is a pericardial ... Pericarditis #Cardiology
Causes of Chronic Dyspnea - Differential Diagnosis Algorithm
Pericardial
 • Effusion
 • Cardiac Tamponade*
 • Constriction
Myocardial
 •
Diagnosis Algorithm Pericardial ... • Effusion • Cardiac ... Tamponade* • ... Constriction Myocardial ... Thickening/Masses Chest
Hemorrhagic Pericardial Effusion with Tamponade on POCUS

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

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Hemorrhagic Pericardial ... Effusion with Tamponade ... unstable pt w/ chest ... #Cardiac #POCUS ... #cardiology #clinical