Daniel Shindler

Dilated pulmonary artery on #cardiopocus Is S1 loud at the right upper sternal border? It may be a hidden ejection click.

#cardioPocus shows a 5 m/sec "tricuspid regurgitation" velocity, no pulmonic valve stenosis, no dyspnea, normal P2 on auscultation. Remember the possibility of LV to RA shunt. ncbi.nlm.nih.gov/pubmed/23180535 ncbi.nlm.nih.gov/pubmed/17011237

#cardioPOCUS shows prominent right ventricular trabeculations. Sometimes it is best not to pursue this with saline contrast, which may create self doubt; and prompt disclaimers about thrombi.

#cardioPOCUS shows diastolic "X" aortic leaflet configuration in the short axis view. Quadricuspid aortic valve not associated with truncal abnormalities is rare with a reported incidence of 0.008% to 0.033%. (European Heart Journal 1988;9:1269-1270)

#cardioPOCUS shows a dilated coronary sinus ncbi.nlm.nih.gov/pubmed/11451829 Question: What is the bedside physical finding that suggests a persistent left superior vena cava? Answer: Jugular venous pulsations are more easily visualized on the left side of the neck.

Want to learn more about #Cardiology specific #POCUS ? Follow THIS for #CardioPOCUS efslope.com @HeartOTXHeartMD

Comparing Two Classic Stethoscopes youtu.be/SKQ08ckIcJk #Ascultation #Stethoscope #PhysicalExam

Ebstein anomaly of the tricuspid valve - original echocardiographic classification: circ.ahajournals.org/content/68/3/5…

Anatomy of the ligament of Marshall. Figure 1 shows the location on the surface of the heart. sciencedirect.com/science/articl…

Intramural VSD - a potential consequence of anchoring a closure patch to an RV trabeculation: circ.ahajournals.org/content/89/1/2…

European guidelines for the diagnosis and treatment of pericardial diseases: eurheartj.oxfordjournals.org/content/ehj/25…

Statistics: Bland-Altman analysis of agreement between two methods of measurement. www-users.york.ac.uk/~mb55/meas/ba.…

Doppler echocardiographic estimation of pulmonary vascular resistance: ac.els-cdn.com/S0735109702029…

Echocardiography in pacemaker patients with severe symptomatic tricuspid regurgitation: ac.els-cdn.com/S0735109705004…

Commisural opening following balloon valvuloplasty in mitral stenosis: d1niluoi1dd30v.cloudfront.net/1936878X/S1936…

Myocardial crypts in hypertrophic cardiomyopathy: ehjcimaging.oxfordjournals.org/content/ejecho…

MRI imaging of left ventricular pseudoaneurysm, true aneurysm and diverticulum: ncbi.nlm.nih.gov/pmc/articles/P…

Pseudoaneurysm of the left ventricular outflow tract: ncbi.nlm.nih.gov/pmc/articles/P…

Serial echocardiograms in endocarditis: heart.bmj.com/content/90/9/1…