11 results
Massive Pericardial Effusion on Echocardiogram (S4C) demonstrating ECG alternans motion
Massive pericardial effusion, female metastatic breast cancer
Massive Pericardial ... Echocardiogram (S4C ... demonstrating ECG ... malignant #clinical #cardiology ... #pocus #S4C #electrical
Pericardial Tamponade
Beck's Triad 
1. Hypotension 
2. Jugular venous distension 
3. Muffled heart sounds 
Patient will be
paradoxus - ECG ... low voltage QRS, electrical ... #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 ... Reason for electrical ... EKG from same patient ... Echocardiogram #A4C ... #Clinical #Cardiology
Massive Pericardial Effusion on Echocardiogram (A4C) demonstrating ECG alternans motion
Massive pericardial effusion, female metastatic breast cancer
Massive Pericardial ... Echocardiogram (A4C ... demonstrating ECG ... malignant #clinical #cardiology ... #pocus #a4c #electrical
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