18 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 ... a4c #clinical #cardiology ... #pocus #shunting
Large atrial septal defect on cardiac POCUS with an oddly satisfying bubble study.

Eric Abrams, MD @eabramsMD

#Bubble
Large atrial septal ... defect on cardiac POCUS ... oddly satisfying bubble ... #Study #ASD #Atrial ... SeptalDefect #Clinical #Cardiology
Apical 4-chamber (A4) Apical 4 Chamber view demonstrating the right ventricle (RV), right atrium (RA), left
(RA), left ventricle ... (LV) and left atrium ... #Clinical #EM #Cardiology ... #POCUS #Apical ... #FourChamber #ALiEM
Cardiac conducting system 
 - Sinoatrial (SA) node normally generates the action potential, i.e. the electrical
excites the right atrium ... to excite left ... atrium (LA) ... - Left bundle ... #Anatomy #Cardiology
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Differential Diagnosis 1. ... Small secundum ASD ... or PFO with left ... Differential #Diagnosis #cardiology ... #bubble
Subxiphoid 4-chamber view showing right ventricle (RV), right atrium (RA), left ventricle (LV) and left atrium
(RA), left ventricle ... (LV) and left atrium ... #Clinical #EM #Cardiology ... #POCUS #Subxiphoid ... PericardialEffusion #ALiEM
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 ... left atria, the ... Cardioversion 1. ... AFib #diagnosis #management ... #cardiology
Coronary Artery Embolism - Etiology and Scoring
Etiology:
 • Direct: Clot (LV thrombus, LAA Thrombus), Valve (Vegetation,
Paradoxical: Right to Left ... non-culprit vessels • Atrial ... prosthetic valve, PFO, ASD ... Major + 1 Minor ... scoring #criteria #cardiology
Giant dilated left atrium on Echocardiogram (a4c)
It belongs to a 92-year old lady with a history
Giant dilated left ... sinus rhythm... 1. ... ASD with R/L shunting ... #clinical #cardiology ... #pocus
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 ... shifts left ... stretched PFO or ASD ... intrapulmonary #cardiology