15 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 ... Ivan_Echocardio #atrial ... septal #defect #ASD ... #clinical #cardiology
Mitral Stenosis and Left Atrial Thrombus on Echocardiogram (a4c)

Mitral stenosis is a risk factor for LA
and Left Atrial ... Echocardiogram (a4c ... underlying cardiac rhythm ... #Thrombus #a4c ... Echocardiogram #clinical #cardiology
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
Multifocal Atrial Arrhythmias on ECG
Multifocal atrial rhythm & Multifocal atrial tachycardia
ECG Recognition:
 • Variable P wave
Irregular P P, RR and ... not gradual in contrast ... #cardiology #diagnosis ... #ekg #electrocardiogram ... #clinical #comparison
Giant dilated left atrium on Echocardiogram (a4c)
It belongs to a 92-year old lady with a history
Echocardiogram (a4c ... Mitral valve doesn ... patient is in sinus rhythm ... ASD with R/L shunting ... #clinical #cardiology
Multifocal Atrial Rhythm vs Wandering Atrial Pacemaker
Mutifocal Atrial Rhythm / Multifocal Atrial Tachycardia:
Belong to a group
Rhythm vs Wandering ... , in sharp contrast ... wap #diagnosis #cardiology ... #ekg #ecg #electrocardiogram ... #comparison
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
mitral regurgitation ... Libman Sacks) • Atrial ... Paradoxical emboli via ASD ... ↑ ESR, CRP • EKG ... diagnosis #management #cardiology
The 4 Variants of Sinus Arrhythmia
Phasic Sinus Arrhythmia:
 • The rate increases with respiration and decreases
rhythmic. ... Wandering Atrial ... Sinus #Arrhythmia #cardiology ... #diagnosis #ekg ... variants #clinical #comparison
Palpitations - Differential Diagnosis Framework

What?
• It is an unpleasant awareness or sensation that the heart is
Rhythm Regularity ... regular rhythms ... heart failure • Mitral ... stenosis) • Severe mitral ... #Palpitations #Cardiology
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Negative Contrast ... Effect in Right Atrium ... Small secundum ASD ... Differential #Diagnosis #cardiology ... echocardiogram #s4c