10 results
Septal Hypertrophic Cardiomyopathy (HOCM)

52yo worsening exertional sx and murmur. EKG nonspecific, Serial trops (-) 
EM resident
elevated LVEDP ==> MRI ... Metoprolol - VCU ... #HCM #clinical ... #echocardiogram ... #plax #cardiology
LVOTO due to SAM on POCUS Echocardiogram

Septic patient after IV fluids and initiation of Levophed. Worsening
on POCUS Echocardiogram ... Management? ... #HOCM #POCUS #Echocardiogram ... #ultrasound #Cardiology ... #PLAX #clinical
Stages in the development of HF and recommended therapy by stage. ACEI indicates angiotensin-converting enzyme inhibitor;
hypertension; ICD ... circulatory support; and MI ... #CHF #Congestive ... Stages #ACCAHA #Algorithm ... #Management #Cardiology
LUMBAR Syndrome

What do you call a segmental lumbosacral hemangioma + spinal problems?? LUMBAR syndrome, a fairly
ensure correct management ... spine + MRI/MRA ... abd/pelvis typically ... #Radiology #Diagnosis ... #Clinical
Syncope - Differential Diagnosis Algorithm
Neurocardiogenic:
 • Vasovagal
 • Orthostatic Hypotension
 • Autonomic Neuropathy
 • Situational (micturition,
Differential Diagnosis Algorithm ... Contractility: • MI ... Stenosis • HCM ... (SA Node) ... #Syncope #Cardiology
Huge mural thrombus occupying 1/3 the LV.
MI effecting [LAD territory]

In PLAX view, The unechoic line between
MI effecting [LAD ... DD the [apical HOCM ... hypereosinophilic syndrome ... Mural #Thrombus #clinical ... #cardiology #echocardiogram
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
ancestry, LGE on MRI ... Clinical • Under-recognized ... May have typical HF ... Avoid ARBs • ICD ... #cardiology #treatment
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
acute coronary syndrome ... #differential #algorithm ... #management #cardiology ... #heartfailure #chf ... #criticalcare #icu
Cardiac LV Thrombus on Echocardiogram Short-Axis View (PSAX)
48 year old woman in ICU for acute ischemic
year old woman in ICU ... PMHx recent CHF, ... cultures, cardiac MRI ... #PSAX #clinical ... #cardiology
Cardiac LV Thrombus on Echocardiogram (A4C)
48 year old woman in ICU for acute ischemic limb. PMHx
year old woman in ICU ... PMHx recent CHF, ... cultures, cardiac MRI ... #A4C #clinical ... #cardiology