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Constrictive Pericarditis on POCUS Echocardiogram - Subcostal View

Young Lupus patient admitted to hospital new onset HFpEF.

Constrictive Pericarditis ... could pinpoint the cause ... New onset HFpEF case ... Answer: patient has constrictive ... medial mitral annulus

Restrictive Cardiomyopathy vs Constrictive Pericarditis
- Mitral inflow
- Tricuspid inflow
- Hepatic vein flow
-

Cardiomyopathy vs Constrictive ... flow - Mitral annulus ... Cardiomyopathy #Constrictive

Causes of Primary and Functional Mitral Regurgitation (MR)
Causes of primary mitral regurgitation
- Rheumatic heart

prolapse beyond the annular ... - Mitral annular ... malcoaptation and annulus ... MV annulus may be ... dilated LA and MV annulus

Graphic representation of transthoracic echocardiographic parameters in the assessment of right ventricular pressure overload. A′ = peak late

velocity of tricuspid annulus ... velocity of tricuspid annulus ... velocity of tricuspid annulus ... TAPSE = tricuspid annular ... Decreased tricuspid annular

3T Cardiac MRI of Barlow's mitral valve disease demonstrating classic prolapse (thickened leaflets >5 mm), mitral

>5 mm), mitral annular ... of the mitral annulus

Constrictive Pericarditis on Echocardiogram
A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness

Constrictive Pericarditis ... classic features of constrictive ... septal mitral annular ... findings suggest constrictive ... OKiamanesh #Constrictive

Kussmaul's sign in Constrictive Pericarditis

A 50-year-old woman with a remote history of mediastinal lymphoma (age

Kussmaul's sign in Constrictive ... Causes = RV failure ... restrictive CM, constrictive ... pericarditis (this case ... #JVP #Jugular #Constrictive

Systolic Murmurs - Differential Diagnosis Algorithm
Benign / Flow / Hyperdynamic:
• Pregnancy
• Fever
• Anemia
Supravalvular

Regurgitation - Leaflet/Annulus ... Right Ventricle/Annulus ... Diagnosis #Algorithm #causes

Primary and Secondary Causes of Mitral Regurgitation
Primary (organic) chronic mitral regurgitation:
• Leaflet: Rheumatic fever, Infective

and Secondary Causes ... rupture • Mitral annulus ... aneurysm • Mitral annulus ... diagnosis #cardiology #causes

Dyspnea - Differential Diagnosis Framework

Cardiovascular Causes of Dyspnea:
• Myocardium:
- Heart failure
- CAD/ACS
- Valvulopathy
• Electrical:
-

Cardiovascular Causes ... Pericardium: - Constrictive ... Tamponade Pulmonary Causes ... syndrome Other Causes ... differential #diagnosis #causes

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