11 results
ASD on Bubble Contrast Echocardiogram (a4c)
A patient with an anterior STEMI (take a look at the
ASD on Bubble Contrast ... Echocardiogram (a4c ... #ASD #Bubble #Contrast ... Echocardiogram #a4c ... #clinical #cardiology
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
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Small secundum ASD ... or PFO with left ... to right shunt 2. ... #Diagnosis #cardiology ... echocardiogram #s4c
Giant dilated left atrium on Echocardiogram (a4c)
It belongs to a 92-year old lady with a history
(a4c) It belongs ... Mitral valve doesn ... aneurysm idiopathic. 2. ... #atrium #a4c #Echocardiogram ... #clinical #cardiology
Causes of mitral stenosis
Rheumatic heart disease
 - Most common cause worldwide. Commissural fusion, thick MV leaflets
Commissural fusion ... disease Infective endocarditis ... vegetations)/tumor (left ... atrial myxoma)/ ... #differential #cardiology
Coronary Artery Embolism - Etiology and Scoring
Etiology:
 • Direct: Clot (LV thrombus, LAA Thrombus), Valve (Vegetation,
Fibroelastoma), Mass (Myxoma ... Paradoxical: Right to Left ... non-culprit vessels • Atrial ... cardiac surgery, endocarditis ... scoring #criteria #cardiology
Hepatopulmonary Syndrome - Diagnosis and Management Summary
A defect in arterial oxygenation due to a gas exchange
anatomic shunt (Type 2) ... , 88% spec • Contrast-enhanced ... Microbubbles appear in left ... blood gas (ABC) ... Positive findings on contrast-enhanced
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 ... myxoma • Hypercoagulable ... Paradoxical emboli via ASD ... diagnosis #management #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 ... Echocardiogram #clinical #cardiology ... #a4c #thrombus
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