4 results
Septal Hypertrophic Cardiomyopathy (HOCM)

52yo worsening exertional sx and murmur. EKG nonspecific, Serial trops (-) 
EM resident
EKG nonspecific, ... elevated LVEDP ==> MRI ... Metoprolol - VCU Ultrasound ... #HOCM #HCM #clinical ... echocardiogram #plax #cardiology
Pulmonary Embolism on ECG 

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
on ECG Mid ... Sister had MI in ... Differential/diagnosis ... seen in 34% of cases ... #clinical #cardiology
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
exclude other causes ... Differential Diagnosis ... • Pulmonary embolus ... ancestry, LGE on MRI ... Clinical • Under-recognized
Peripartum Cardiomyopathy (PPCM)

What is PPCM?
• A form of acute systolic heart failure that develops late in
Cesarean delivery Clinical ... Key Point: High clinical ... , selenium) Differential ... Pulmonary/amniotic embolism ... #Cardiology #OBGyn