57 results
LVOTO due to SAM on POCUS Echocardiogram

Septic patient after IV fluids and initiation of Levophed. Worsening
Worsening hypotension ... Diagnosis? ... Management? ... #ultrasound #Cardiology ... #PLAX #clinical
Multifocal Atrial Tachycardia (MAT)
• At least 3 different P wave morphologies: 
• Rate 100-180
• Irregular 
Etiology
Secondary to chronic lung ... • Hypoxia • Pulmonary ... hypertension ... Tachycardia #MAT #Cardiology ... #Diagnosis #ECG
Clinical Classification of Pulmonary Hypertension

1. Pulmonary arterial hypertension from pulmonary vasculopathy
Idiopathic pulmonary arterial hypertension
Heritable gene mutations
Clinical Classification ... 1. ... due to lung disease ... Interstitial lung ... Classification #Diagnosis
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
on POCUS Echocardiogram ... Differential/diagnosis ... Embolism #POCUS #Echocardiogram ... #A4c #clinical ... #cardiology #McConnells
Severe Pulmonary Hypertension on Echocardiogram
Pulmonary hypertension results in compensatory changes to the RV. The RV appears
Echocardiogram ... Pulmonary hypertension ... rectangular (from A4C ... PHTN #Echocardiogram ... #clinical #cardiology
Differentiating PAH from PVH - Echocardiography
Pulmonary Artery Hypertension (PAH):
 • RV size - Enlarged
 • LA
• ElA ratio << 1 ... • ElA ratio > 1 ... Differentiating #PAH #PVH #Echocardiogram ... #comparison #diagnosis ... #cardiology #pulmonary
Portopulmonary Hypertension
Presence of pulmonary arterial hypertension in a patient with portal hypertension
No other obvious causes (chronic
causes (chronic lung ... thromboembolism) 1) ... Transthoracic echocardiogram ... Effect: PATENT-1 ... #diagnosis #management
Myocardial Injury Classification
Chronic myocardial injury: Chronic heart failure, Cardiomyopathy, Hypertension, CKD/ESRD
Acute nonischemic myocardial injury:
 - Primary
non-cardiac illness: Critical ... illness, Sepsis, Pulmonary ... infarction: - Type 1 ... Classification #diagnosis ... #cardiology #troponemia
Idiopathic Pulmonary Arterial Hypertension (IPAH) on Echocardiogram

55 year old female.  Amazing how the body adapts
Idiopathic Pulmonary ... Arterial Hypertension ... #IPAH #clinical ... #echocardiogram ... #cardiology #a4c
ARDS/VALI progression over the course of 1 week 
 (a) Day 1 - No pathological findings.
the course of 1 ... week (a) Day 1 ... involvement, with “white lung ... the differential diagnosis ... #Clinical #Radiology