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
Coronary Artery Embolism - Etiology and Scoring
Etiology:
 • Direct: Clot (LV thrombus, LAA Thrombus), Valve (Vegetation,
Minor: • < 25% stenosis ... non-culprit vessels • Atrial ... cardiac surgery, endocarditis ... Artery #Embolism #diagnosis ... scoring #criteria #cardiology
Rheumatic Heart Disease - Mitral Stenosis on Echocardiogram
(1) Thickened and fibrosed MV leaflets - rheumatic etiology
(1) Thickened ... (2) Lvef 25-30% ... (7) patient in atrial ... #clinical #cardiology ... #a4c #thrombus
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Effect in Right Atrium ... 1. ... to right shunt 2. ... Effect #Right #Atrium ... #cardiology #clinical
Giant dilated left atrium on Echocardiogram (a4c)
It belongs to a 92-year old lady with a history
Giant dilated left atrium ... Mitral valve doesn ... sinus rhythm... 1. ... aneurysm idiopathic. 2. ... dilated #left #atrium
Causes of Primary and Functional Mitral Regurgitation (MR) 
Causes of primary mitral regurgitation
 - Rheumatic heart
stenosis - Infective ... /marantic endocarditis ... plane into left atrium ... #Differential #Diagnosis ... #Cardiology
Atrial Fibrillation (A-Fib) Summary

Symptoms:
• Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope.

Why?
Cardiac:
	• Valvular heart
Atrial Fibrillation ... risk factors Atrial ... right and left atria ... identify left atrial ... test for DM Atrial
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
1. ... as RAP>LAP as atrial ... septum shifts left ... clinical #pocus #a4c ... intrapulmonary #cardiology
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 ... Paradoxical emboli via ASD ... #cardiology
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
dysfunction or LV ... one post op Cardiology ... Severe Aortic stenosis ... CARP, DECREASE V trials ... stratification #diagnosis