11 results
ASD on Bubble Contrast Echocardiogram (a4c)
A patient with an anterior STEMI (take a look at the
ASD on Bubble Contrast ... a look at the LV ... Ivan_Echocardio #atrial ... #septal #defect ... #ASD #Bubble #Contrast
Negative contrast effect = a washout of the contrast (agitated saline) in the right atrium in
) in the right atrium ... patient with an ASD ... #ASD #atrial #septal ... #defect #a4c #Echocardiogram ... #clinical #cardiology
Coronary Artery Embolism - Etiology and Scoring
Etiology:
 • Direct: Clot (LV thrombus, LAA Thrombus), Valve (Vegetation,
- Most Common Cause ... Minor: • < 25% stenosis ... non-culprit vessels • Atrial ... cardiac surgery, endocarditis ... scoring #criteria #cardiology
Restrictive Cardiomyopathy on Echocardiogram - Apical 4 Chamber View

RCM is a disease of diastole —> severe
diastole —> severe atrial ... this degree of atrial ... mistake to avoid: atrial ... An ASD with atria ... #a4c
Causes of Primary and Functional Mitral Regurgitation (MR) 
Causes of primary mitral regurgitation
 - Rheumatic heart
stenosis - Infective ... /marantic endocarditis ... plane into left atrium ... muscle injury: Direct ... Differential #Diagnosis #Cardiology
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Atrium - Differential ... Small secundum ASD ... to right shunt 2. ... #Atrium #RA #Differential ... #Diagnosis #cardiology
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
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Involves aortic and mitral ... Libman Sacks) • Atrial ... Glomerulonephritis Septic ... Treat underlying cause ... diagnosis #management #cardiology
Ebstein Anomaly on Echocardiogram

Ebstein anomaly. The tricuspid valve is ALWAYS more apically displaced than the mitral
displaced than the mitral ... commonest congenital cause ... associated with an atrial ... septal defect. ... #a4c
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
as RAP>LAP as atrial ... septum shifts left ... stretched PFO or ASD ... clinical #pocus #a4c ... intrapulmonary #cardiology