23 results
Cardiac Amyloidosis

Huge Atria, Thick LV and IntraAtrial Septum with Apical Sparing

- Juan Lopez-Mattei, MD
@onco_cardiology

#Amyloidosis #Echocardiogram #POCUS
Cardiac Amyloidosis ... Huge Atria, Thick LV ... IntraAtrial Septum with Apical ... Echocardiogram #POCUS ... #Clinical #Cardiology
Apical Wall Motion Abnormality on POCUS Echocardiogram

LV apical wall motion abnormality on this 4-chamber view.
Differential should
Abnormality on POCUS ... Echocardiogram LV ... Differential should ... infarct vs Takotsubo cardiomyopathy ... Echocardiogram #clinical #cardiology
Cardiomyopathies 

Manifestations of cardiomyopathy (CM) range from microscopic alterations in cardiac myocytes to fulminant Heart Failure
alterations in cardiac ... accumulation, & cardiac ... • LV Noncompaction ... Cardiomyopathies #cardiology ... #diagnosis #differential
Arrhythmias - Differential Diagnosis Algorithm
May present as: palpitations, dizziness, syncope, chest discomfort
Cardiac Causes:
 - Structural
Arrhythmias - Differential ... Diagnosis Algorithm ... chest discomfort Cardiac ... disease • Cardiomyopathy ... #Differential #
Echocardiographic criteria of LV Non-compaction
Chin Criteria (1990):
 • Absence of any other coexisting cardiac structural abnormality
Echocardiographic criteria of LV ... other coexisting cardiac ... subxyphoid, and apical ... short axis and apical ... #Jenni #Chin #cardiology
Restrictive Cardiomyopathy - Diagnosis and Causes
Clinical: Dyspnea, Exercise Intolerance, ↑ "Right Sided-Symptoms" (ascites, hepatomegaly, ↑↑peripheral edema)
Physical
Restrictive Cardiomyopathy ... Echocardiography, Cardiac ... MRI, Cardiac Catheterization ... Diagnosis #Causes #differential ... #cardiology #algorithm
Pulse Abnormalities - Differential Diagnosis Algorithm
Unequal/DeIayed:
 • Obstructive arterial disease (ie. Atherosclerosis)
 • Aortic dissection
 •
Abnormalities - Differential ... Diagnosis Algorithm ... pressure >10mmHg: • Cardiac ... • Restrictive Cardiomyopathy ... #Differential #
Dyspnea - Considerations with Malignancy
Directly Malignancy Related:
 - Lymphangitic spread to lung
 - Malignant pleural effusion
pneumonitis - Cardiomyopathy ... Changes in Pre-Test ... Immunosuppression —> atypical ... NEJMcps1414168 #dyspnea #algorithm ... #differential #
Takotsubo Cardiomyopathy on POCUS Echocardiogram

50's male CAP on Day 4 Zpak but worsening-fever, congestion, cough. BP
Takotsubo Cardiomyopathy ... exercise echo stress test ... LV (hypokinesia ... of red line in LV ... #ultrasound #Cardiology
Yamaguchi cardiomyopathy on Echocardiogram (A4C)

ECG has been stable for years, she only feels unwell when in
Yamaguchi cardiomyopathy ... Cardiac MR shows ... no LGE and no apical ... hypertrophic #clinical #cardiology ... #pocus