13 results
Tuberculous pericarditis with an effusive-constrictive physiology

Ivan Stankovic, MD, PhD @Ivan_Echocardio

#Tuberculous #pericarditis #constrictive #a4c #Echocardiogram #clinical #cardiology
with an effusive-constrictive ... #constrictive # ... a4c #Echocardiogram ... #clinical #cardiology ... #pocus
Constrictive Pericarditis on POCUS Echocardiogram - Apical 3-Chamber View

Young Lupus patient admitted to hospital new onset
Constrictive Pericarditis ... on POCUS Echocardiogram ... Had diagnostic tap-fever ... #clinical #cardiology ... #A3C #SeptalBounce
Constrictive Pericarditis on POCUS Echocardiogram - Subcostal View

Young Lupus patient admitted to hospital new onset HFpEF.
Constrictive Pericarditis ... on POCUS Echocardiogram ... Constrictive pericarditis-dx ... #clinical #cardiology ... #s4C #SeptalBounce
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 ... expiration not meeting diagnostic ... Echocardiogram #a4c ... #pocus #clinical
Apical Approach Pericardiocentesis on POCUS Echocardiogram

Apical approach had best pocket + good distance away from lung
Apical approach had best ... in vitals and shock ... Echocardiogram #A4c ... #clinical #cardiology ... #effusion #pericardial
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Myocarditis Diagnosis ... Endomyocardial biopsy ... • Chest pain, pericarditis ... • Cardiogenic shock ... , sudden cardiac
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
HF, Cardiogenic shock ... , Arrythmias, Pericarditis ... agent, steroids, AC ... #Myocarditis #diagnosis ... #summary #biopsy
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Shock - Diagnosis ... Consider IL NS/LR infusion ... >> Constrictive ... pericarditis, Pericardial ... Cardiac surgery?
Pulse Abnormalities - Differential Diagnosis Algorithm
Unequal/DeIayed:
 • Obstructive arterial disease (ie. Atherosclerosis)
 • Aortic dissection
 •
- Differential Diagnosis ... pressure >10mmHg: • Cardiac ... • Hypovolemic shock ... • Constrictive ... Pericarditis
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
diminished tissue perfusion ... pneumothorax, cardiac ... tamponade, constrictive ... pericarditis, restrictive ... Classification #Types #diagnosis