22 results
Takotsubo Cardiomyopathy on POCUS Echocardiogram

Patient is in shock. POCUS RUSH exam shows the shock is cardiogenic.
on POCUS Echocardiogram ... Patient is in shock ... exam shows the shock ... Clinical #POCUS #Echocardiogram ... #A4c #Ultrasound
Shock - Differential Diagnosis Algorithm
Warm Extremities
 - Distributive Shock - Low JVP
Shock - Differential ... - Distributive Shock ... Infarction • Left-sided ... Arrhythmia • Cardiomyopathy ... Pneumothorax • Cardiac
Takotsubo Cardiomyopathy on POCUS

78 year old woman - Acute delirium but complaining of chest pain 
ECG:
Takotsubo Cardiomyopathy ... chest leads Cardiac ... #Takotsubo #Cardiomyopathy ... #POCUS #Ultrasound ... #Clinical #Echocardiogram
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Cold and wet) • Cardiomyopathic ... infarction, following cardiac ... pneumothorax, cardiac ... pericarditis, restrictive cardiomyopathy ... Types #diagnosis #management
Shock Types - Classification
State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
Cold and Wet): • Cardiomyopathic ... infarction, following cardiac ... pneumothorax, cardiac ... pericarditis, restrictive cardiomyopathy ... types #diagnosis #management
RUSH(ed) Exam - POCUS Protocol
Rapid Ultrasound in Shock and Hypotension
1. Parasternal Long Cardiac View
2. Apical Four-Chamber
Protocol Rapid Ultrasound ... in Shock and Hypotension ... Parasternal Long Cardiac ... Aortic Slide Views ... #shock
Cardiac Rupture with Pericardial Effusion

Apical 4 chamber. Note larger right sided pericardial effusion with significant compression
Cardiac Rupture ... Note larger right sided ... concerning for cardiac ... MyocardialInfarction #AMI #POCUS #Echocardiogram ... #ultrasound #Cardiology
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Abnormal ECG, echocardiogram ... • Cardiogenic shock ... , sudden cardiac ... death Management ... Myocarditis #Diagnosis #Management
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
and Management ... Setup - Ultrasound ... dilated IVC - Cardiac ... Cardiac surgery? ... #Diagnosis #Management
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
DETROIT CARDIOGENIC SHOCK ... visualization with use of ultrasound ... Fick calculated cardiac ... IF LVEDP >15 or Cardiac ... DCSI #Initiative #Management