11 results
Septal Hypertrophic Cardiomyopathy (HOCM)

52yo worsening exertional sx and murmur. EKG nonspecific, Serial trops (-) 
EM resident
Cardiomyopathy ... EKG nonspecific, Serial ... Admit ==> Positive stress ... #HOCM #HCM #clinical ... plax #cardiology #pocus
Takotsubo Cardiomyopathy - Right Ventricular Involvement 

In up to 1/4 of cases of stress cardiomyopathy (takotsubo),
- Right Ventricular ... /4 of cases of stress ... also involves the right ... Echocardiogram #A4C ... #Clinical #POCUS
Restrictive Cardiomyopathy on Echocardiogram - Apical 4 Chamber View

RCM is a disease of diastole —> severe
Restrictive Cardiomyopathy ... septum might look ... Echocardiogram #clinical ... #pocus #echocardiogram ... #cardiology #a4c
Constrictive Pericarditis on Echocardiogram
A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness
runner presents to clinic ... echocardiogram to workup ... right-heart failure ... Echocardiogram #a4c ... #pocus #clinical
Apical 4-chamber (A4) Apical 4 Chamber view demonstrating the right ventricle (RV), right atrium (RA), left
ventricle (RV), right ... atrium (RA), left ... orientation of the septum ... #Clinical #EM # ... Cardiology #POCUS
HOCM on POCUS Echocardiogram (A4C)

85 yo s/p syncope. Here is the POCUS showing significant septal hypertrophy!
HOCM on POCUS Echocardiogram ... (A4C) 85 yo s/ ... showing significant septal ... #hypertrophic #cardiomyopathy ... #A4C #clinical
Negative contrast effect = a washout of the contrast (agitated saline) in the right atrium in
saline) in the right ... #septal #defect ... #a4c #Echocardiogram ... #clinical #cardiology ... #pocus
Huge right atrial myxoma on POCUS Echocardiogram

Notice the typical attachment to the inter-atrial septum (fossa ovalis)
Huge right atrial ... myxoma on POCUS ... septum (fossa ovalis ... Echocardiogram #clinical ... #cardiology #s4c
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
infarction • Stress ... factors + oxidative stress ... 30%, LVEDd > 6.0 cm ... Clinical • Under-recognized ... Serial TTE and close
Perform computations online at:
ScyMed.com
6th ED
ICU-card
«ICU, Formulas & Drugs»
HEMODYNAMIC PATTERNS
Condition
SAP
CVP

PAP PCWP

CO C(a-v)02 PVR

SVR
Hypovolemic shock
↓
↓
↓
↓
↓
↑
↑
↑
Cardiogenic shock
↓
1
↑
1

1
↑

Septic shock
↓
↓
↓
↓
↑
↓
↓
↓
Cardiac Tamponade
.
↑
↑
1
↓

→
↑
RV
1 1 ↑ Septic ... -5.1 L PV/(1-Hct ... Index, Right LVSWI ... Index, Right ELECTROCARDIOGRAPHY ... press.)