8 results
ASD on Bubble Contrast Echocardiogram (a4c)
A patient with an anterior STEMI (take a look at the
ASD on Bubble Contrast ... Ivan_Echocardio #atrial ... #Bubble #Contrast ... a4c #clinical #cardiology ... #pocus #shunting
Negative contrast effect = a washout of the contrast (agitated saline) in the right atrium in
Negative contrast ... right atrium in ... atrial #septal # ... Echocardiogram #clinical #cardiology ... #pocus
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Negative Contrast ... or PFO with left ... #cardiology #clinical ... echocardiogram #s4c #pocus ... #bubble
Coronary Artery Embolism - Etiology and Scoring
Etiology:
 • Direct: Clot (LV thrombus, LAA Thrombus), Valve (Vegetation,
Paradoxical: Right to Left ... , TEE, CT or MRI ... non-culprit vessels • Atrial ... Artery #Embolism #diagnosis ... 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
wide-complex tachycardia: bundle ... and left atria, ... atrial thrombus ... Fibrillation #AFib #diagnosis ... #management #cardiology
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
Early transit of bubbles ... as RAP>LAP as atrial ... septum shifts left ... Echocardiogram #clinical #pocus ... intrapulmonary #cardiology
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Libman Sacks) • Atrial ... • Coagulase-negative ... Paradoxical emboli via ASD ... ↑ Suspicion -> TEE ... #management #cardiology
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
Libman Sacks) • Atrial ... aureus, Coagulase-negative ... staphylococci Culture Negative ... Paradoxical emboli via ASD ... #cardiology #infectiousdiseases