31 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 ... onco_cardiology #Amyloidosis ... #Echocardiogram ... Clinical #Cardiology #Cardiac
Cardiac Amyloid - Diagnosis, Signs, Symptoms and Management

Clinical Presentation
- exertional dyspnea
- peripheral edema
- exertional syncope
- peripheral
Cardiac Amyloid ... , Symptoms and Management ... despite hx HTN) EKG ... precordial leads) - atrial ... cardionerds #Amyloidosis
Amyloidosis - Summary
Group of disorders associated with extracellular deposition of fibrils formed from low-molecular-weight proteins in
LVH, low-voltage EKG ... Testing: • EKG ... • Echocardiogram ... disproportionate atrial ... spleen • Fecal fat measurements
Pulmonary Arterial Catheterization – Use and Interpretation:
-Pulmonary arterial catheterization (PAC) has never been shown to improve
mixed, hemodynamic measurements ... cardiogenic shock (eg ... hypertension or cardiac ... output (ie, cardiac ... pressure) -right atrial
Amyloidosis on POCUS Echocardiogram - Parasternal long axis (PLAX)
Pt with systemic AL amyloidosis presents with 1
Echocardiogram ... thickening and biatrial ... with cardiac involvement ... #Cardiac #POCUS ... #clinical #Echocardiogram
Amyloidosis on POCUS Echocardiogram - Apical 4 Chamber (A4C)
Pt with systemic AL amyloidosis presents with 1
Echocardiogram ... thickening and biatrial ... with cardiac involvement ... #Cardiac #POCUS ... #clinical #Echocardiogram
Amyloidosis on POCUS Echocardiogram - Subcostal 4 Chamber (S4C)
Pt with systemic AL amyloidosis presents with 1
Echocardiogram ... thickening and biatrial ... with cardiac involvement ... #Cardiac #POCUS ... #clinical #Echocardiogram
Amyloidosis on POCUS Echocardiogram - Parasternal short axis (PSAX)
Pt with systemic AL amyloidosis presents with 1
Echocardiogram ... thickening and biatrial ... with cardiac involvement ... #Cardiac #POCUS ... #clinical #Echocardiogram
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
gallop • Abnormal ECG ... , echocardiogram ... shock, sudden cardiac ... death Management ... Myocarditis #Diagnosis #Management
Approach to the Hypercoagulable State
Arterial thromboembolism
→ Cardiac rhythm monitoring, Echocardiogram, Vascular imaging
→ Test for APS, particularly
Hypercoagulable State Arterial ... thromboembolism → Cardiac ... rhythm monitoring, Echocardiogram ... risk actor for arterial ... • Provoked (e.g