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

Good example of swinging heart in pre tamponade. Reason for electrical
for electrical alternans ... EKG from same patient ... swinging #electrical #alternans ... #POCUS #Echocardiogram ... A4C #Clinical #Cardiology
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
gallop • Abnormal ECG ... , echocardiogram ... shock, sudden cardiac ... death Management ... #Cardiology
Short axis of this echo is mesmerizing: Malignant effusion in a young pt. Notice subtle electrical
Short axis of this ... subtle electrical alternans ... on the ECG. ... Clinical #POCUS #Echocardiogram ... ElectricalAlternans #Cardiology
Cardiac Event Monitoring Devices - Compared
Ambulatory ECG (Hotter):
 • Advantages: Continuous recording, records asx events, all
Compared Ambulatory ECG ... events, all (most) ECG ... Disadvantages: Short ... Devices #Comparison #cardiology ... #management #holter
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
Ischemic Symptoms  EKG ... Fick calculated cardiac ... IF LVEDP >15 or Cardiac ... DCSI #Initiative #Management ... #Cardiology
Ventricular tachycardia (V-tach or VT) is a type of regular and fast heart rate that arises
Short periods may ... may result in cardiac ... #Clinical #MedStudent ... #Cardiology #EKG