21 results
Septal Hypertrophic Cardiomyopathy (HOCM)

52yo worsening exertional sx and murmur. EKG nonspecific, Serial trops (-) 
EM resident
EKG nonspecific, ... Serial trops (- ... Metoprolol - VCU Ultrasound ... #HOCM #HCM #clinical ... echocardiogram #plax
Wellens' Sign: LAD-T Wave Inversion 
Life threatening T wave inversions in precordial leads. Often V2-V3 
Specific
Specific for critical ... Serial EKGS in pts ... Wellens #Sign #EKG ... #ECG #Electrocardiogram ... #Diagnosis #Cardiology
Atrial Myxoma on POCUS Echocardiogram (PLAX)

Adolescent patient presents with chest pain and dyspnea. Beside TTE found
Echocardiogram (PLAX ... the lab work, EKG ... and CXR didn’t. ... - VCU Ultrasound ... #clinical
Type A Dissection on POCUS (PLAX view)

39 yo M w CP drops his BP in ED.
Non-ischemic EKG ... , nl CXR. ... What's the Diagnosis ... hemopericardium and ... #Clinical #Ultrasound
Yamaguchi cardiomyopathy on Echocardiogram (A4C)

ECG has been stable for years, she only feels unwell when in
Echocardiogram (A4C ... ) ECG has been ... MR shows no LGE and ... Echocardiogram #A4C ... #hypertrophic #clinical
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
Chest Pain - Diagnosis ... Initial workup: • EKG ... • Bedside ultrasound ... • CXR • CBC ... , PT. aPTT • Serial
Constrictive Pericarditis on Echocardiogram
A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness
runner presents to clinic ... had gained 15 kg ... expiration not meeting diagnostic ... Echocardiogram #a4c ... #cardiology
Restrictive Cardiomyopathy on Echocardiogram - Apical 4 Chamber View

RCM is a disease of diastole —> severe
Restrictive Cardiomyopathy ... septum might look ... An ASD with atria ... Echocardiogram #clinical ... #a4c
Huge right atrial myxoma on POCUS Echocardiogram

Notice the typical attachment to the inter-atrial septum (fossa ovalis)
septum (fossa ovalis ... ) and the consequent ... Echocardiogram #clinical ... #cardiology #s4c ... #ultrasound
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Triage EKG (no prior ... Differential/diagnosis ... McConnell's sign, and ... Echocardiogram #A4c ... #clinical #cardiology