15 results
Takotsubo Cardiomyopathy on POCUS

78 year old woman - Acute delirium but complaining of chest pain 
ECG:
Takotsubo Cardiomyopathy ... on POCUS 78 ... of chest pain ECG ... #POCUS #Ultrasound ... Echocardiogram #Cardiology
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Evaluation - EKG ... (no B-lines on ultrasound ... antiarrhythmics - Ischemic cardiomyopathy ... Nephrotoxins (e.g ... channel blocker (eg
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
Ischemic Symptoms  EKG ... visualization with use of ultrasound ... major epicardial ... DCSI #Initiative #Management ... #Cardiology
Medical Management of Acute RV Failure
 • Evaluate and Treat Etiology of RV Failure [e.g. Acute
Medical Management ... of RV Failure [e.g ... Primary/Concomitant Pericardial ... Supportive Measures Act ... rightventricular #cardiology
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
(e.g., familial ... Minority of Pts: cardiogenic ... hemodynamics (e.g ... LVEF recovery (e.g ... teratogenic GDMT meds (e.g
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
- Acute HF, Cardiogenic ... Pericarditis, Tamponade EKG ... agent, steroids, AC ... Myocarditis #diagnosis #management ... #cardiology #summary
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Diagnosis and Management ... Setup - Ultrasound ... telemetry, 12-Lead EKG ... pericarditis, Pericardial ... resuscitation • Cardiogenic
Vasospastic (Prinzmetal) Angina
Definition / Epidemiology:
 • Rest angina attributed to coronary artery vasospasm.
 • Patients often
younger than other ACS ... Diffuse spasm of epicardial ... changes on tele/ECG ... Prinzmetal #Angina #cardiology ... #diagnosis #management
Septal Hypertrophic Cardiomyopathy (HOCM)

52yo worsening exertional sx and murmur. EKG nonspecific, Serial trops (-) 
EM resident
Septal Hypertrophic Cardiomyopathy ... EKG nonspecific, ... Metoprolol - VCU Ultrasound ... echocardiogram #plax #cardiology ... #pocus
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
in aVR, not in aVL ... depression Takotsubo Cardiomyopathy ... Prinzmetal's Angina: • Epicardial ... differential #diagnosis #cardiology ... #ecg #ekg #electrocardiogram