18 results
Pericardial Clot on Echocardiogram

ST elevation of acute pericarditis was misdiagnosed as STEMI and thrombolysed with SK
Pericardial Clot ... misdiagnosed as STEMI ... large clot and tamponade ... Echocardiogram #POCUS ... #clinical #cardiology
Pericardial effusion with signs of tamponade on POCUS Echocardiogram (S4c)
RA collapse= earliest sign. RV collapse =
Pericardial effusion ... with signs of tamponade ... on POCUS Echocardiogram ... #POCUS #clinical ... echocardiogram #cardiology
Constrictive Pericarditis on POCUS Echocardiogram - Apical 3-Chamber View

Young Lupus patient admitted to hospital new onset
on POCUS Echocardiogram ... Also has pericardial ... effusion/pericardial ... can be seen in tamponade ... Echocardiogram #clinical #cardiology
Constrictive Pericarditis on POCUS Echocardiogram - Subcostal View

Young Lupus patient admitted to hospital new onset HFpEF.
on POCUS Echocardiogram ... Also has pericardial ... effusion/pericardial ... and hepatic vein criteria ... Echocardiogram #clinical #cardiology
Constrictive Pericarditis on Echocardiogram
A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness
ASA, Kussmaul's sign ... circumferential pericardial ... meeting diagnostic criteria ... Echocardiogram #a4c #pocus ... #clinical #cardiology
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
Approach to ECGs ... = Biomarkers + ECG ... Equivalents / Don't Miss Signs ... deWinter T waves - starts ... electrocardiogram #cardiology
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
on ECG • Conventional ... V2 • Wellens sign ... pain • Wellens sign ... #Equivalents #ECG ... #differential #cardiology
Constrictive Pericarditis on Echocardiogram

Septal Shudder, tubular LV (bullet shaped), D Cruz sign(abnormal angle between post wall
Constrictive Pericarditis ... shaped), D Cruz sign ... halt, increased pericardial ... Echocardiogram #POCUS ... #clinical #cardiology
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
ALGORITHM INCLUSION CRITERIA ... Ischemic Symptoms  EKG ... evidence of AMI (STEMI ... flow in all major epicardial ... Initiative #Management #Cardiology
Large Pericardial Effusion on POCUS 

Good example of swinging heart in pre tamponade. Reason for electrical
Effusion on POCUS ... swinging heart in pre tamponade ... EKG from same patient ... electrical #alternans #POCUS ... A4C #Clinical #Cardiology