LBBB on Cardiac Ultrasound: do not be fooled into diagnosing a wall motion abnormality!
The last case on the blog of LBBB with very high voltage was actually first identified as LBBB by ED bedside echo, which was done PRIOR to the…
History of Hypertrophic Cardiomyopathy (HOCM), with Tachycardia and High Lactate
A patient under 40 with h/o HOCM and implantable cardioverter-defibrillator (for secondary prevention of VF arrest that occurred during…
Respiratory Failure and ST Depression: Is there Posterior STEMI?
The ultrasound in this case was recorded by Dr. Robert F. (Rob) Reardon, one of my partners here at Hennepin County Medical Center (HCMC) in…
30 Year Old with Cardiac Arrest, PEA, then Cardiac Ultrasound
A 30 year old collapsed after complaining of chest pain intermittently. He was unconscious. First responders thought they palpated…
Acute Cardiogenic Shock: What is the Diagnosis?
Click on this link of a recently posted a similar case with great ultrasound images. Let’s see how much you learned and remember.…
ST elevation and QS-waves. ECG is equivocal. Use ED Echo!!
A male in his 50’s with history of CAD, Diabetes, AAA with repair, and HTN presented for chest pain. He complained of left-sided…
Male in 30’s, 2 days after Motor Vehicle Collsion, complains of Chest Pain and Dyspnea
This male in his 30s with h/o Hypertension ran broadside into another car at 40 miles per hour (65 km per hour) 2 days prior. There…
Sudden Cardiogenic Shock
An elderly woman presented with rather sudden altered mental status, hypoxia, and hypotension. She had no significant past medical…
Cardiac Ultrasound may be a surprisingly easy way to help make the diagnosis
This case was contributed by Vince DiGiulio. A 63 year old woman who was otherwise healthy had a syncopal episode. She had no CP, no SOB, but…
LBBB with acute STEMI due to ruptured obtuse marginal, diagnosed with bedside ultrasound
This 74 yo male had just returned to his unit bed after successful PTCA of tight lesions of the first diagonal and obtuse marginal coronaries.…