9 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 ... #ASD #Bubble #Contrast ... a4c #clinical #cardiology ... #pocus #shunting
Negative contrast effect = a washout of the contrast (agitated saline) in the right atrium in
) in the right atrium ... #ASD #atrial #septal ... #defect #a4c #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 ... larger shunt #ECG ... #EKG #Cardiology ... Crochetage #Sign #ASD
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Negative Contrast ... Atrium - Differential ... Small secundum ASD ... #Diagnosis #cardiology ... echocardiogram #s4c #pocus
Multifocal Atrial Rhythm vs Wandering Atrial Pacemaker
Mutifocal Atrial Rhythm / Multifocal Atrial Tachycardia:
Belong to a group
Multifocal Atrial ... dominant pacemaker focus ... rhythm, in sharp contrast ... wap #diagnosis #cardiology ... #ekg #ecg #electrocardiogram
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
Ischemic Symptoms  EKG ... Obtain femoral arterial ... access (via direct ... DCSI #Initiative #Management ... #Cardiology
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Libman Sacks) • Atrial ... Paradoxical emboli via ASD ... ↑ ESR, CRP • EKG ... Endocarditis #diagnosis #management ... #cardiology
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
indicated • EKG ... Obtain EKG if: ... one post op Cardiology ... medical and surgical management ... for select patients
If the patient has a HEART Score of 0-3 and a negative initial troponin, have a
troponin test and ECG ... Obtain an ECG at ... the time of arrival ... #Management #PatientInfo ... #Cardiology #ChestPain