14 results
Septal Hypertrophic Cardiomyopathy (HOCM)

52yo worsening exertional sx and murmur. EKG nonspecific, Serial trops (-) 
EM resident
Cardiomyopathy (HOCM ... Serial trops (-) EM ... MRI (+) septal HCM ... #HCM #clinical ... #cardiology #pocus
Parasternal LAX view with severe septal thickening in a patient with Hypertrophic CM and obstruction. Given
risk for sudden cardiac ... cardiomyopathy #HOCM ... #HCM #plax #Echocardiogram ... #clinical #cardiology ... #pocus
Hypertrophic Cardiomyopathy (HOCM) - Diagnosis and Management
Diagnosis
 1. Wall thickness 215 mm (TTE/CT/MRI) 
 2. Absence
Cardiomyopathy (HOCM ... Management Diagnosis ... Cardiomyopathy #HOCM ... #Diagnosis #Management ... #Cardiology
LVOTO due to SAM on POCUS Echocardiogram

Septic patient after IV fluids and initiation of Levophed. Worsening
Diagnosis? ... Management? ... Motion #LVOTO #SAM #HOCM ... #ultrasound #Cardiology ... #PLAX #clinical
HOCM on POCUS Echocardiogram (A4C)

85 yo s/p syncope. Here is the POCUS showing significant septal hypertrophy!
HOCM on POCUS Echocardiogram ... admission, he was diagnosed ... with HOCM. ... MaimoUltrasound #HOCM ... #clinical #cardiology
Syncope - Differential Diagnosis Algorithm
Neurocardiogenic:
 • Vasovagal
 • Orthostatic Hypotension
 • Autonomic Neuropathy
 • Situational (micturition,
- Differential Diagnosis ... Algorithm Neurocardiogenic ... • Migraine Cardiac ... Stenosis • HCM ... Syndrome #Syncope #Cardiology
Stroke Volume & Cardiac Output Measurement on POCUS
Accurately measure LVOT diameter:
1. Obtain PLAX 
2. Zoom to
Measurement on POCUS ... Obtain PLAX 2. ... at mid systole, 1cm ... Obtain A5c view ... #cardiology
Cardiac Murmurs and Maneuvers

An algorithm demonstrating the effect of various maneuvers on systolic murmurs. 
TR, tricuspid
Cardiac Murmurs ... Maneuvers An algorithm ... regurgitation; HOCM ... Maneuvers #Heart #Cardiology ... #PhysicalExam #Diagnosis
Huge mural thrombus occupying 1/3 the LV.
MI effecting [LAD territory]

In PLAX view, The unechoic line between
territory] In PLAX ... DD the [apical HOCM ... Thrombus #clinical #cardiology ... echocardiogram #pocus ... #a4c
ISCHEMIA Trial - Management Algorithm for patients with Stable Angina

Stress Test -> ? +moderate or severe
Stable Angina Stress ... LMCA lesion -> Cardiac ... Angina #ChestPain #Diagnosis ... #Management #Algorithm ... #Cardiology #EBM