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Cardiac Amyloidosis

Huge Atria, Thick LV and IntraAtrial Septum with Apical Sparing

- Juan Lopez-Mattei, MD
@onco_cardiology

#Amyloidosis #Echocardiogram #POCUS

Cardiac Amyloidosis ... onco_cardiology #Amyloidosis ... #Echocardiogram ... POCUS #Clinical #Cardiology ... #Cardiac #SC4C

Amyloidosis on POCUS Echocardiogram - Subcostal 4 Chamber (S4C)
Pt with systemic AL amyloidosis presents with 1

Echocardiogram ... Subcostal 4 Chamber (S4C ... large pericardial effusion ... #Cardiac #POCUS ... #Cardiology #S4C

Echo Parameters for Differential Diagnosis in Cardiac Amyloidosis
GLS
GCS
GRS
EFSR
RELAPS
SAB

#Echocardiogram #Parameters #echocardiography #Cardiac #Amyloidosis #diagnosis

Parameters for Differential ... Diagnosis in Cardiac ... Amyloidosis GLS ... RELAPS SAB #Echocardiogram ... #Amyloidosis #diagnosis

Cardiac Rupture with Pericardial Effusion

Apical 4 chamber. Note larger right sided pericardial effusion with significant compression

with Pericardial Effusion ... sided pericardial effusion ... MyocardialInfarction #AMI #POCUS #Echocardiogram ... #ultrasound #Cardiology ... #A4c #clinical

Amyloidosis on POCUS Echocardiogram - Apical 4 Chamber (A4C)
Pt with systemic AL amyloidosis presents with 1

Echocardiogram ... large pericardial effusion ... with cardiac involvement ... #Cardiac #POCUS ... #Cardiology #A4C

Hemorrhagic Pericardial Effusions (Hemopericardium)- Differential Diagnosis Framework

IATROGENIC DISEASE
Secondary to invasive cardiac procedures

NONIATROGENIC
• Malignancy (e.g., metastatic spread:

Hemopericardium)- Differential ... Secondary to invasive cardiac ... CAUSES • PRIMARY Cardiac ... Primary systemic amyloidosis ... #Diagnosis #cardiology

Ascites, pericardial effusion, and left pleural effusion on subcostal 4-chamber POCUS echocardiogram

Subcostal window in SLE patient.

Ascites, pericardial effusion ... and left pleural effusion ... -chamber POCUS echocardiogram ... #s4c #POCUS #echocardiogram ... clinical #ultrasound #cardiology

POCUS Pearls for Tamponade
- Pericardial Effusion
- Diastolic Right Ventricular Collapse
- Systolic Right Atrial Collapse
- Plethoric Inferior

- Pericardial Effusion ... @SAlerhand #Cardiac ... Diagnosis #Evaluation #Cardiology ... #Effusion #Echocardiogram

POCUS - Measuring Cardiac Output
1) Calculate LVOT Area
2) Calculate LVOT VTI
3) Calculate Cardiac Output

SV = (LVOT

POCUS - Measuring Cardiac ... VTI 3) Calculate Cardiac ... 101 @Pocus101 #Cardiac ... Output #CO #POCUS #Echocardiogram ... #Measurement #cardiology

Pericardial Clot on Echocardiogram

ST elevation of acute pericarditis was misdiagnosed as STEMI and thrombolysed with SK

Pericardial Clot on Echocardiogram ... hemorrhagic pericardial effusion ... #Pericardial #effusion ... POCUS #clinical #cardiology ... #a4c

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