3 results
Septal Hypertrophic Cardiomyopathy (HOCM)

52yo worsening exertional sx and murmur. EKG nonspecific, Serial trops (-) 
EM resident
Septal Hypertrophic Cardiomyopathy ... elevated LVEDP ==> MRI ... Metoprolol - VCU Ultrasound ... echocardiogram #plax #cardiology ... #pocus
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
echocardiography - CBC ... (no B-lines on ultrasound ... antiarrhythmics - Ischemic cardiomyopathy ... treatment for acute MI ... #HeartFailure #Cardiology
Huge mural thrombus occupying 1/3 the LV.
MI effecting [LAD territory]

In PLAX view, The unechoic line between
MI effecting [LAD ... DD the [apical HOCM ... Thrombus #clinical #cardiology ... echocardiogram #pocus ... #a4c