9 results
Coronary Artery Embolism - Etiology and Scoring
Etiology:
 • Direct: Clot (LV thrombus, LAA Thrombus), Valve (Vegetation,
Paradoxical: Right to Left ... non-culprit vessels • Atrial ... #Embolism #diagnosis ... #differential # ... scoring #criteria #cardiology
Atrial Fibrillation (A-Fib) Summary

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

Why?
Cardiac:
	• Valvular heart
atrial thrombus ... Cardioversion 1. ... Anticoagulation ≥4 weeks after ... Fibrillation #AFib #diagnosis ... #management #cardiology
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Diagnosis 1. ... Small secundum ASD ... or PFO with left ... #Diagnosis #cardiology ... echocardiogram #s4c #pocus
Causes of mitral stenosis
Rheumatic heart disease
 - Most common cause worldwide. Commissural fusion, thick MV leaflets
vegetations)/tumor (left ... atrial myxoma)/ ... ball valve thrombus ... #differential # ... cardiology
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
Lead AVR on ECG 1. ... indicative of left ... main coronary artery ... (LMCA). left anterior ... #cardiology
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Libman Sacks) • Atrial ... Marantic (NTBE) Differential ... Paradoxical emboli via ASD ... than 5 to 7 days after ... #management #cardiology
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 ... Echocardiogram #clinical #pocus ... intrapulmonary #cardiology
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
- Overview and Differential ... Libman Sacks) • Atrial ... than 5 to 7 days after ... #Endocarditis #Differential ... #Diagnosis #cardiology
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
(@MarkRamzyDO, EM ... Hamilton, MD (EM ... This post will focus ... /50 Rule (part 1) ... and second ribs.1