Learning Cardiology

Q. Patient being evaluated for cause of ascites. Constrictive pericarditis or Restrictive cardiomyopathy? Simultaneous LV and RV pressure trace is being shown here. Answer: Here,  RV and LV discordance is present which is suggestive of constrictive pericarditis. RCM will have LV and RV concordance during respiration.

Q 1. Contrast CT angiography of a patient. What is the Diagnosis? Q 2. What is optimum mode of management? Answer 1: Type A aortic dissection Answer 2: Surgical repair

Q 1. Patient with intracranial hemorrhage found to have weak femoral pulses. What may be the diagnosis? Q 2. What is the cause of intracranial hemorrhage? Answer 1: Coarctation of Aorta (CoA)- See the notching of inferior margins of ribs Answer 2: Ruptured Berry's aneurysm

1. What is the diagnosis? 2. What is the name of this sign? Answer 1: Hypertrophic obstructive cardiomyopathy (HOCM) Answers 2: Brockenbrough-Braunwald-Morrow sign Explanation: There is a decrease in pulse pressure and increase in left ventricular outflow tract gradient after the ventricular ectopic beat in HOCM patients. This phenomenon is known as Brockenbrough-Braunwald-Morrow phenomenon or sign.  

Q 1.  What does arrow indicate? Q 2. What is the diagnosis of the patient? Answer 1: Epsilon wave Answer 2: Arrhythmogenic right ventricular cardiomyopathy (ARVC)