infertility nejm mri pocus ultrasound abc cardiomyopathy cardiology color hcm hocm thrombus

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Septal Hypertrophic Cardiomyopathy (HOCM)

52yo worsening exertional sx and murmur. EKG nonspecific, Serial trops (-)
EM resident

(HOCM) 52yo ... elevated LVEDP ==> MRI ... (+) septal HCM ... #HOCM #HCM #clinical ... #pocus

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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 ... #clinical #cardiology ... echocardiogram #pocus ... #a4c

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