12 results
Knuckle Sign on ECG - Acute Pericarditis

Electrocardiogram of a 68-year-old woman two days after coronary artery
- Acute Pericarditis ... surgery with small pericardial ... effusion seen on ... an echocardiogram ... depression in I, II and aVL
Constrictive Pericarditis on Echocardiogram
A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness
on Echocardiogram ... had gained 15 kg ... circumferential pericardial ... effusion. ... pocus #clinical #cardiology
Chest pain after AFib ablation. What’s the most likely diagnosis?

...

You are all correct: the patient had
You are all correct ... w/ a moderate pericardial ... effusion (likely ... Dx pericarditis ... #EKG #ECG #Pericarditis
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 ... #management #treatment
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
shock, Arrythmias, Pericarditis ... , Tamponade EKG ... Low voltage Treatment ... agent, steroids, AC ... Myocarditis #diagnosis #management
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Diagnosis and Management ... telemetry, 12-Lead EKG ... > Constrictive pericarditis ... , Pericardial Tamponade ... #criticalcare #treatment
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Cardiogenic Shock - Management ... Evaluation - EKG ... edema - Large effusion ... Revascularization, treatment ... #Management
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 ... tests in cath lab Treatment ... #diagnosis #management
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
o infection • Echocardiogram ... EGPA (↓ LVEF, pericardial ... effusion) • PFTs ... differential #diagnosis #management ... #treatment
Perhaps quite too often, the knee-jerk reaction to an elevated Troponin is to call our friends
time for coronary perfusion ... “one size fits all ... #echocardiogram ... #management #clinical ... criticalcare #foamed #treatment