13 results
ASD on Bubble Contrast Echocardiogram (a4c)
A patient with an anterior STEMI (take a look at the
ASD on Bubble Contrast ... previously undiagnosed ASD ... #septal #defect ... #ASD #Bubble #Contrast ... #clinical #cardiology
Large Atrial Septal Defect and clearly not a PFO. I want to personally thank all the
Large Atrial Septal ... jchristianfox #Clinical ... #Cardiology #POCUS ... Echocardiogram #A4C ... #ASD #Large #SeptalDefect
Atrial septal defect

An ECG may show the “crochetage” pattern (92% specific)—a notch near the apex of
Atrial septal defect ... inferior limb leads Large ... notches signify a larger ... #Cardiology #Crochetage ... #Sign #ASD
Negative contrast effect = a washout of the contrast (agitated saline) in the right atrium in
patient with an ASD ... effect #washout #ASD ... #atrial #septal ... #defect #a4c #Echocardiogram ... #clinical #cardiology
Large atrial septal defect on cardiac POCUS with an oddly satisfying bubble study.

Eric Abrams, MD @eabramsMD

#Bubble
Large atrial septal ... Bubble #Study #ASD ... #Clinical #Cardiology ... Echocardiogram #A4C ... #Large
Wellens' Sign: LAD-T Wave Inversion 
Life threatening T wave inversions in precordial leads. Often V2-V3 
Specific
Wellens' Sign: LAD-T ... Specific for critical ... without chest pain, as ... Serial EKGS in pts ... #Diagnosis #Cardiology
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
In AVNRT, the atria ... EKG of the same ... are enough to diagnose ... “clinical electrophysiology ... PhysicalExam #JVP #Cardiology
Constrictive Pericarditis on Echocardiogram
A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness
had gained 15 kg ... , Kussmaul's sign ... expiration not meeting diagnostic ... Echocardiogram #a4c ... #cardiology
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Libman Sacks) • Atrial ... Glomerulonephritis Septic ... Paradoxical emboli via ASD ... ↑ ESR, CRP • EKG ... #cardiology
Differentiating NBTE from Infective Endocarditis
No pathognomonic signs/symptoms or echo features that are specific to NBTE, and
pathognomonic signs ... diagnosis can only ... high index of clinical ... cultures/serology: Serial ... single territory large