Introducing 

Prezi AI.

Your new presentation assistant.

Refine, enhance, and tailor your content, source relevant images, and edit visuals quicker than ever before.

Loading…
Transcript

“A GALLAVARDIN PHENOMENON: TWO MURMURS EQUAL TO ONE; AND TALL TENTED T WAVE NOT EQUAL TO HYPERKALEMIA”.

Faizal Amri, Mastura

Hospital Canselor Tuanku Muhriz University Kebangsaan Malaysia

Introduction

Approach to syncope in emergency department

INTRODUCTION

ED approach

Patient is a 54 years old gentlemen had syncope on exertion. Patient had multiple syncope in these 2 month. Each syncope will precede with chest pain, shortness of breath and vertigo.

CASE

ECG

Gallavardin phenomenon: 2 murmur equal to 1

DISCUSSION

The harsh noisy component is best heard at the upper right sternal border radiating to the neck due to the high velocity jet in the ascending aorta. The musical high frequency component is best heard at the cardiac apex. The presence of a murmur at the apex can be misinterpreted as mitral regurgitation. However, the apical murmur of the Gallavardin phenomenon does not radiate to the left axilla and is accentuated by a slowing of the heart rate (such as a compensatory pause after a premature beat) whereas the mitral regurgitation murmur does not change.

Bedside echo

EVIDENCE

CONCLUSION

Subtopic 1

Learn more about creating dynamic, engaging presentations with Prezi