6 results
Septal Hypertrophic Cardiomyopathy (HOCM)

52yo worsening exertional sx and murmur. EKG nonspecific, Serial trops (-) 
EM resident
(HOCM) 52yo ... EKG nonspecific, ... elevated LVEDP ==> MRI ... Metoprolol - VCU Ultrasound ... echocardiogram #plax #cardiology
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Endomyocardial biopsy ... Cardiovascular MRI ... gallop • Abnormal ECG ... • Cardiogenic shock ... #Cardiology
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
HF, Cardiogenic shock ... Pericarditis, Tamponade EKG ... Low voltage Treatment ... #cardiology #summary ... #biopsy
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
- Management Checklist ... (no B-lines on ultrasound ... antiarrhythmics - Ischemic cardiomyopathy ... Revascularization, treatment ... #HeartFailure #Cardiology
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
Peripartum Cardiomyopathy ... ancestry, LGE on MRI ... Pts: cardiogenic shock ... ARB/ACE-I/ARNI/MRA ... #cardiology #treatment
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
importantly, bedside ultrasound ... ECG is vital while ... essentially Cardiogenic Shock ... differential #algorithm #management ... #cardiology #treatment