10 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 ... #ASD #Bubble #Contrast ... #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
Coronary Artery Embolism - Etiology and Scoring
Etiology:
 • Direct: Clot (LV thrombus, LAA Thrombus), Valve (Vegetation,
Minor: • < 25% stenosis ... non-culprit vessels • Atrial ... prosthetic valve, PFO, ASD ... cardiac surgery, endocarditis ... #cardiology
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Negative Contrast ... Small secundum ASD ... to right shunt 2. ... #Diagnosis #cardiology ... echocardiogram #s4c
Rheumatic Heart Disease - Mitral Stenosis on Echocardiogram
(1) Thickened and fibrosed MV leaflets - rheumatic etiology
(2) Lvef 25-30% ... spontaneous echo contrast ... (7) patient in atrial ... #clinical #cardiology ... #a4c #thrombus
Hepatopulmonary Syndrome - Diagnosis and Management Summary
A defect in arterial oxygenation due to a gas exchange
anatomic shunt (Type 2) ... , 88% spec • Contrast-enhanced ... blood gas (ABC) ... HPS Diagnostic Criteria ... Positive findings on contrast-enhanced
Giant dilated left atrium on Echocardiogram (a4c)
It belongs to a 92-year old lady with a history
Echocardiogram (a4c ... Mitral valve doesn ... aneurysm idiopathic. 2. ... ASD with R/L shunting ... #clinical #cardiology
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 ... -> TEE • Duke Criteria ... diagnosis #management #cardiology
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
bubbles = PFO 2. ... >LAP as atrial septum ... stretched PFO or ASD ... clinical #pocus #a4c ... intrapulmonary #cardiology
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
mitral regurgitation ... Libman Sacks) • Atrial ... Paradoxical emboli via ASD ... → TEE • Duke Criteria ... Differential #Diagnosis #cardiology