Post Myocardial Infarction VSD on POCUS Echocardiogram Older female with hx of severe GERD. Worsening over 8 day and meds not helping. BP 94/56, HR 106. Stethoscope first (then echo): Harsh systolic murmur heard throughout the precordium with palpable thrill. Troponin I-markedly elevated. PSLA shown Dr. Robert Jones @RJonesSonoEM #PostMI #VSD #SeptalRupture #pocus #clinical #echocardiogram #cardiology #infarction #plax