12 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 ... #septal #defect ... #ASD #Bubble #Contrast ... #cardiology #pocus
Negative contrast effect = a washout of the contrast (agitated saline) in the right atrium in
patient with an ASD ... effect #washout #ASD ... #atrial #septal ... Echocardiogram #clinical ... #cardiology #pocus
Atrial septal defect

An ECG may show the “crochetage” pattern (92% specific)—a notch near the apex of
Atrial septal defect ... An ECG may show ... #EKG #Cardiology ... #Crochetage #Sign ... #ASD
Wellens' Sign: LAD-T Wave Inversion 
Life threatening T wave inversions in precordial leads. Often V2-V3 
Specific
Wellens' Sign: LAD-T ... Specific for critical ... without chest pain, as ... Serial EKGS in pts ... #Diagnosis #Cardiology
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
In AVNRT, the atria ... EKG of the same ... “clinical electrophysiology ... Awaves #AVNRT #PhysicalExam ... #JVP #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. ... Differential #Diagnosis #cardiology ... #clinical #echocardiogram
Atrial Flutter on Neck Examination

If you can dx this rhythm, you are born before 1960. 
Early
Hence 2:1 flutter ... A and V contract ... Flutter #Neck #PhysicalExam ... #JVP #Clinical ... #Video #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 ... Echocardiogram #clinical ... intrapulmonary #cardiology
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
other causes* 2. ... Clinical • Under-recognized ... support for patients clinically ... Serial TTE and close ... diagnosis #management #cardiology
Bilateral Vestibular Schwannomas in Neurofibromatosis Type 2- ...Magnetic resonance imaging of the brain performed after the
Neurofibromatosis Type 2- ... administration of contrast ... material revealed ... #NEJM #clinical ... #radiology #MRI