11 results
Massive Pericardial Effusion on Echocardiogram (S4C) demonstrating ECG alternans motion
Massive pericardial effusion, female metastatic breast cancer
Echocardiogram (S4C ... demonstrating ECG ... alternans motion ... #pocus #S4C #electrical ... #alternans
Massive Pericardial Effusion on Echocardiogram (A4C) demonstrating ECG alternans motion
Massive pericardial effusion, female metastatic breast cancer
demonstrating ECG ... alternans motion ... malignant #clinical #cardiology ... #pocus #a4c #electrical ... #alternans
Pericardial Tamponade
Beck's Triad 
1. Hypotension 
2. Jugular venous distension 
3. Muffled heart sounds 
Patient will be
paradoxus - ECG ... QRS, electrical alterans ... #Cardiac #Tamponade ... #Becks #Triad #Diagnosis ... #Cardiology
Large Pericardial Effusion on POCUS 

Good example of swinging heart in pre tamponade. Reason for electrical
Effusion on POCUS ... for electrical alternans ... EKG from same patient ... #A4C #Clinical ... #Cardiology #Swinging
Causes of Acute Pericarditis:

Infectious;

Viral: 
Adenovirus 
Coxsackie virus A and B 
Echovirus 
Epstein-Barr virus 
Hepatitis 
Human immunodeficiency
injury Cardiac ... injury (e.g., cardiac ... perforation (e.g ... sac) Chylopericardium ... #Differential #Diagnosis
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Myocarditis Diagnosis ... • Chest pain, pericarditis ... tachycardia • S3, S4 ... gallop • Abnormal ECG ... shock, sudden cardiac
Constrictive Pericarditis on Echocardiogram
A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness
had gained 15 kg ... circumferential pericardial ... expiration not meeting diagnostic ... #pocus #clinical ... #cardiology
Complex Pericardial Effusion with Tamponade on POCUS Echocardiogram - A4C
Pt sent to ED c intradialytic hypotension.
with Tamponade on POCUS ... K 5.9 without EKG ... #Effusion #Cardiac ... #Tamponade #POCUS ... #clinical #cardiology
SLE (Systemic Lupus Erythematosus)

Suspect:
Clinical evidence of (fatigue, rash, photosensitivity, inflammatory arthritis, weight loss, and fever) and
• Malignancy (e.g ... Endocrine disorders (e.g ... Serositis: • Pleural/pericardial ... • Asymptomatic pericarditis ... #Rheumatology
Right Heart Catheterization - Pulmonary Artery Pressures and Calculations
PULMONARY VASCULAR RESISTANCE = (meanPAP-PCWP) / CO
 •
RV dysfunction. e.g ... CARDIAC POWER OUTPUT ... Increases in RAP or pericardial ... forward flow. e.g ... artery #catheter #diagnosis