12 results
Atrial Septal Defect (ASD) with Shunting on Echocardiogram with Contrast (a4c)

An elderly patient with dyspnea -
Atrial Septal Defect ... (ASD) with Shunting ... with dyspnea - ASD ... Septal #Defect #ASD ... clinical #pocus #bubble
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 ... cardiology #pocus #shunting
Giant dilated left atrium on Echocardiogram (a4c)
It belongs to a 92-year old lady with a history
on Echocardiogram ... Mitral valve doesn ... sinus rhythm... 1. ... ASD with R/L shunting ... #a4c #Echocardiogram
Coronary Artery Embolism - Etiology and Scoring
Etiology:
 • Direct: Clot (LV thrombus, LAA Thrombus), Valve (Vegetation,
Coronary Artery ... non-culprit vessels • Atrial ... , PFO, ASD, h/o ... cardiac surgery, endocarditis ... Embolism #diagnosis #differential
Causes of Ischemic Stroke - Differential Diagnosis Framework
Important to determine and treat the etiology behind because
Ischemic Stroke - Differential ... * • Valvular: Mitral ... stenosis, Prosthetic valve ... • Endocarditis ... Bifurcation of carotid artery
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
- Differential ... Diagnosis 1. ... Small secundum ASD ... cardiology #clinical #echocardiogram ... #s4c #pocus #bubble
Causes of mitral stenosis
Rheumatic heart disease
 - Most common cause worldwide. Commissural fusion, thick MV leaflets
disease Infective endocarditis ... vegetations)/tumor (left atrial ... myxoma)/ball valve ... occur 10—20 years after ... Causes #diagnosis #differential
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
mitral regurgitation ... Libman Sacks) • Atrial ... Marantic (NTBE) Differential ... Paradoxical emboli via ASD ... than 5 to 7 days after
Atrial Fibrillation (A-Fib) Summary

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

Why?
Cardiac:
	• Valvular heart
wide-complex tachycardia: bundle ... Cardioversion 1. ... Anticoagulation ≥4 weeks after ... Moderate or severe mitral ... Mechanical heart valve
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
Early transit of bubbles ... >LAP as atrial septum ... stretched PFO or ASD ... , and later (after ... clinical #pocus #a4c