13 results
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Myocarditis Diagnosis ... • Chest pain, pericarditis ... tachycardia • S3, S4 ... shock, sudden cardiac ... #Cardiology
Myocarditis - Diagnosis and Causes
 • Clinical presentation: Pseudo-acute coronary syndrome, Cardiac failure <3 rnonths, Cardiogenic
Myocarditis - Diagnosis ... coronary syndrome, Cardiac ... Paraclinical assessment: EKG ... hypokinesia, associated pericarditis ... #Causes #cardiology
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
Manage acute cardiac ... shock, Arrythmias, Pericarditis ... , Tamponade EKG ... #diagnosis #management ... #cardiology #summary
Pericardial Clot on Echocardiogram

ST elevation of acute pericarditis was misdiagnosed as STEMI and thrombolysed with SK
elevation of acute pericarditis ... thrombolysed with SK ... Echocardiogram #POCUS ... #clinical #cardiology ... #a4c
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
Constrictive Pericarditis on POCUS Echocardiogram - Apical 3-Chamber View

Young Lupus patient admitted to hospital new onset
on POCUS Echocardiogram ... you see on this SC ... Also has pericardial ... Had diagnostic tap-fever ... #clinical #cardiology
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
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
- Differential Diagnosis ... depression Pericarditis ... /Myocarditis: ... #differential #diagnosis ... #cardiology #ecg
Palpitations - Differential Diagnosis Framework

What?
• It is an unpleasant awareness or sensation that the heart is
- Differential Diagnosis ... Palpitations Diagnosis ... tachycardia • Pericarditis ... or myocarditis ... #Palpitations #Cardiology