12 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 ... #Echocardiogram ... #POCUS #Clinical ... #Cardiology #Cardiac
Cardiac Amyloid - Diagnosis, Signs, Symptoms and Management

Clinical Presentation
- exertional dyspnea
- peripheral edema
- exertional syncope
- peripheral
Management Clinical ... despite hx HTN) EKG ... precordial leads) - atrial ... cardionerds #Amyloidosis ... #Cardiac #Diagnosis
Amyloidosis - Summary
Group of disorders associated with extracellular deposition of fibrils formed from low-molecular-weight proteins in
Clinical suspicion ... LVH, low-voltage EKG ... Testing: • EKG ... • Echocardiogram ... disproportionate atrial
Amyloidosis on POCUS Echocardiogram - Apical 4 Chamber (A4C)
Pt with systemic AL amyloidosis presents with 1
Echocardiogram ... thickening and biatrial ... #Cardiac #POCUS ... #clinical #Echocardiogram ... #Cardiology #A4C
Amyloidosis on POCUS Echocardiogram - Parasternal short axis (PSAX)
Pt with systemic AL amyloidosis presents with 1
Echocardiogram ... thickening and biatrial ... #Cardiac #POCUS ... #clinical #Echocardiogram ... #Cardiology #PSAX
Amyloidosis on POCUS Echocardiogram - Subcostal 4 Chamber (S4C)
Pt with systemic AL amyloidosis presents with 1
Echocardiogram ... thickening and biatrial ... #Cardiac #POCUS ... #clinical #Echocardiogram ... #Cardiology #S4C
Amyloidosis on POCUS Echocardiogram - Parasternal long axis (PLAX)
Pt with systemic AL amyloidosis presents with 1
Echocardiogram ... thickening and biatrial ... #Cardiac #POCUS ... #clinical #Echocardiogram ... #Cardiology #PLAX
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Myocarditis Diagnosis ... gallop • Abnormal ECG ... , echocardiogram ... shock, sudden cardiac ... #Management #Cardiology
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
Clinical • Under-recognized ... and timing with Cardio-OB ... Serial TTE and close ... follow-up with Cardio-OB ... #management #cardiology
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
indicated • EKG ... Obtain EKG if: ... Change in clinical ... one post op Cardiology ... stratification #diagnosis