11 results
Septal Hypertrophic Cardiomyopathy (HOCM)

52yo worsening exertional sx and murmur. EKG nonspecific, Serial trops (-) 
EM resident
Septal Hypertrophic ... EKG nonspecific, ... elevated LVEDP ==> MRI ... echocardiogram #plax #cardiology ... #pocus
Chest Pain / ACS Evaluation Algorithm
Algorithm that attempts to the use history taking (guided by LRs),
Ask about: - Changes ... physical activity - Nausea ... - Radiation to neck ... - History - EKG ... diagnosis #Algorithm #cardiology
Approach to ECGs
Check
 - Age, gender, name
 - 25mm/s; 10mm/mV
 - 1mm = 40ms; 0.1 mV
Rate
- RAD: AntLat MI ... Short QT <300-360 ms ... , high ICP Hypertrophy ... #EKG #diagnosis ... electrocardiogram #cardiology
Antecubital Vein examination to estimate JVP/CVP

In this video, the antecubital veins move between 

Below [RA +
CVP In this video ... E.g. in a cold room ... But in rare cases ... (neck is inaccessible ... #estimate #Cardiology
Yamaguchi cardiomyopathy on Echocardiogram (A4C)

ECG has been stable for years, she only feels unwell when in
Echocardiogram (A4C) ECG ... Cardiac MR shows ... #A4C #apical #hypertrophic ... #clinical #cardiology ... #pocus
Pulmonary Embolism on ECG 

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Triage EKG (no prior ... Sister had MI in ... See thread for POCUS ... seen in 34% of cases ... #clinical #cardiology
Palpitations - Differential Diagnosis Framework

What?
• It is an unpleasant awareness or sensation that the heart is
in the chest or neck ... exam • 12-lead ECG ... Valvular disease (e.g ... etiologies • Hypertrophic ... #Palpitations #Cardiology
Tenosynovitis of the peroneal tendons due to hypertrophic peroneal tubercle
Imaging Findings:
 • Large volume ofT2-hyperintense fluid
tendons due to hypertrophic ... Case description ... tubercle #clinical #mri ... #clinical #Radiology ... #diagnosis #msk
Liposclerosing Myxofibrous Tumor (LSMFT) - MSK Radiology
Imaging Findings:
 • Geographic lucent lesion with sclerotic margin in
Tumor (LSMFT) - MSK ... Radiology Imaging ... right femoral neck ... Case description ... Myxofibrous #Tumor #Radiology
Papillary muscle rupture on POCUS Echocardiogram - A4C

Rare case! 70M recent MI with acute resp failure
muscle rupture on POCUS ... - A4C Rare case ... 70M recent MI with ... Labeled Video ... A4C #clinical #cardiology