25 results
Tuberculous pericarditis with an effusive-constrictive physiology

Ivan Stankovic, MD, PhD @Ivan_Echocardio

#Tuberculous #pericarditis #constrictive #a4c #Echocardiogram #clinical #cardiology
pericarditis with an effusive-constrictive ... #pericarditis #constrictive ... #a4c #Echocardiogram ... #clinical #cardiology
Cardiac Rupture with Pericardial Effusion

Apical 4 chamber. Note larger right sided pericardial effusion with significant compression
with Pericardial Effusion ... sided pericardial effusion ... #pericardial #effusion ... Echocardiogram #ultrasound #Cardiology ... #A4c #clinical
Constrictive Pericarditis on POCUS Echocardiogram - Subcostal View

Young Lupus patient admitted to hospital new onset HFpEF.
Constrictive Pericarditis ... has pericardial effusion ... similar sized effusion ... Echocardiogram #clinical #cardiology ... #s4C #SeptalBounce
Constrictive Pericarditis on POCUS Echocardiogram - Apical 3-Chamber View

Young Lupus patient admitted to hospital new onset
Constrictive Pericarditis ... has pericardial effusion ... with similar peri effusion ... Echocardiogram #clinical #cardiology ... #A3C #SeptalBounce
Pathophysiology Of Constriction
Exaggerated Ventricular Interdependence:
 • Limited Cardiac Filling due to Fixed Volume → Septum Shifts
Pathophysiology ... Of Constriction ... Interdependence: • Limited Cardiac ... pericarditis #pathophysiology ... #cardiology #dissociation
Causes of Chronic Dyspnea - Differential Diagnosis Algorithm
Pericardial
 • Effusion
 • Cardiac Tamponade*
 • Constriction
Myocardial
 •
Differential Diagnosis Algorithm ... Pericardial • Effusion ... • Cardiac Tamponade ... * • Constriction ... Abnormalities • Pleural Effusions
Constrictive Pericarditis on Echocardiogram
A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness
Constrictive Pericarditis ... circumferential pericardial effusion ... OKiamanesh #Constrictive ... Echocardiogram #a4c ... pocus #clinical #cardiology
Causes of Dyspnea - Differential Diagnosis Algorithm
Cardiac:
 • Dysrhythmia
 • Ischemia
 • Cardiomyopathy
 • Valvular disease
Differential Diagnosis Algorithm ... Cardiac: • Dysrhythmia ... Tamponade • Constrictive ... Pleura: • Pleural effusion ... Differential #Diagnosis #Algorithm
Syncope - Differential Diagnosis Algorithm
Neurocardiogenic:
 • Vasovagal
 • Orthostatic Hypotension
 • Autonomic Neuropathy
 • Situational (micturition,
Differential Diagnosis Algorithm ... • Migraine Cardiac ... Stenosis • Cardiac ... Tamponade • Constrictive ... Syndrome #Syncope #Cardiology
Pulse Abnormalities - Differential Diagnosis Algorithm
Unequal/DeIayed:
 • Obstructive arterial disease (ie. Atherosclerosis)
 • Aortic dissection
 •
Differential Diagnosis Algorithm ... pressure >10mmHg: • Cardiac ... Hypovolemic shock • Constrictive ... Abnormalities #Disorders #Cardiology ... Differential #Diagnosis #Algorithm