10 results
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Endomyocardial biopsy ... • Chest pain, pericarditis ... tachycardia • S3, S4 ... shock, sudden cardiac ... #Cardiology
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
Manage acute cardiac ... shock, Arrythmias, Pericarditis ... agent, steroids, AC ... #diagnosis #management ... #biopsy
Constrictive Pericarditis on POCUS Echocardiogram - Subcostal View

Young Lupus patient admitted to hospital new onset HFpEF.
What do you see ... on this SC image ... has pericardial effusion ... similar sized effusion ... #s4C #SeptalBounce
Malignant Pericardial Effusion causing Cardiac Tamponade on Echocardiogram (S4c)
Hypotensive + respiratory distress. At first glance you
Malignant Pericardial ... Echocardiogram (S4c ... RV so you can't see ... clinical #ultrasound #s4c ... echocardiogram #POCUS #cardiology
Massive Pericardial Effusion on Echocardiogram (S4C) demonstrating ECG alternans motion
Massive pericardial effusion, female metastatic breast cancer
Echocardiogram (S4C ... cancer ... 1800 ml ... Echocardiogram #malignant ... #clinical #cardiology ... #pocus #S4C #electrical
Malignant Pericardial Effusion causing Cardiac Tamponade on Echocardiogram (A4c)
Hypotensive + respiratory distress. At first glance you
Malignant Pericardial ... Echocardiogram (A4c ... On A4C, you can ... see how the effusion ... clinical #ultrasound #a4c
Constrictive Pericarditis on Echocardiogram
A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness
She had gained 15 ... circumferential pericardial effusion ... velocity of 9.5 cm/sec ... Echocardiogram #a4c ... pocus #clinical #cardiology
Constrictive Pericarditis on POCUS Echocardiogram - Apical 3-Chamber View

Young Lupus patient admitted to hospital new onset
What do you see ... on this SC image ... has pericardial effusion ... with similar peri effusion ... #A3C #SeptalBounce
SLE (Systemic Lupus Erythematosus)

Suspect:
Clinical evidence of (fatigue, rash, photosensitivity, inflammatory arthritis, weight loss, and fever) and
Infections • Malignancy ... Lungs: • Pleural effusions ... • Asymptomatic pericarditis ... • Myocarditis ... • Kidney biopsy
Behçet's Syndrome
Systemic disease associated with inflammation of multiple organs, small-vessel vasculitis and large-vessel vasculopathy
Epidemiology:
 • Young
Venous disease (SVC ... thrombosis, VTE) • Cardiac ... Disease: Pericarditis ... , myocarditis, coronary ... Syndrome #diagnosis #management