9 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 ... Ivan_Echocardio #atrial ... septal #defect #ASD ... #cardiology #pocus
Large atrial septal defect on cardiac POCUS with an oddly satisfying bubble study.

Eric Abrams, MD @eabramsMD

#Bubble
Large atrial septal ... #Study #ASD #Atrial ... SeptalDefect #Clinical #Cardiology ... #POCUS #Echocardiogram ... #A4C #Large
Negative contrast effect = a washout of the contrast (agitated saline) in the right atrium in
Negative contrast ... patient with an ASD ... effect #washout #ASD ... #defect #a4c #Echocardiogram ... #clinical #cardiology
Typical (Counterclockwise) and Reverse Typical (Clockwise) Atrial Flutter on EKG
Typical (Counterclockwise) Atrial Flutter
 • Inferior leads:
Counterclockwise) and ... Flutter on EKG ... up, slow down; "negative ... #cardiology #clinical ... #diagnosis #comparison
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Negative Contrast ... Small secundum ASD ... #cardiology #clinical ... #echocardiogram ... #s4c #pocus #bubble
Multifocal Atrial Arrhythmias on ECG
Multifocal atrial rhythm & Multifocal atrial tachycardia
ECG Recognition:
 • Variable P wave
Irregular P P, RR and ... because one of the bundle ... #tachycardia #cardiology ... #diagnosis #ekg ... electrocardiogram #clinical #comparison
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
Double Shunt on Echocardiogram ... Early transit of bubbles ... >LAP as atrial septum ... stretched PFO or ASD ... clinical #pocus #a4c
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 ... ↑ ESR, CRP • EKG ... #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 ... ↑ ESR, CRP • EKG