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cardiology clinical differential echocardiogram electrocardiogram management pocus arrhythmia contrast ecg endocarditis right sinus variants 1: 2 afib aortic arrhythmias atrium
Large atrial septal defect on cardiac POCUS with an oddly satisfying bubble study. Eric Abrams, MD @eabramsMD #Bubble
Large atrial septal ... defect on cardiac ... #Study #ASD #Atrial ... SeptalDefect #Clinical #Cardiology ... Echocardiogram #A4C
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 Coronary Artery Embolism - Etiology and Scoring Etiology: • Direct: Clot (LV thrombus, LAA Thrombus), Valve (Vegetation,
Coronary Artery ... non-culprit vessels • Atrial ... prosthetic valve, PFO, ASD ... , h/o of cardiac ... #Embolism #diagnosis
The 4 Variants of Sinus Arrhythmia Phasic Sinus Arrhythmia: • The rate increases with respiration and decreases
Wandering Atrial ... is gradual • After ... Sinus #Arrhythmia #cardiology ... #diagnosis #ekg ... variants #clinical #comparison
Premature Ventricular Complexes (PVC's) - Summary Framework Why PVCs? Can be the first manifestation of cardiac
manifestation of cardiac ... including: • Coronary artery ... Hypokalemia • Bundle ... 300 = NSVT EKG ... capture of the atria
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
Negative Contrast Effect in Right Atrium - Differential Diagnosis 1. Small secundum ASD or PFO with left
Effect in Right Atrium ... Small secundum ASD ... #cardiology #clinical ... echocardiogram #s4c ... #pocus #bubble
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 Intra-Aortic Balloon Pump (IABP) Intra-aortic balloon counter-pulsation is a method of invasive hemodynamic support. A catheter is
placed through an arterial ... sync with the cardiac ... improves coronary artery ... • Triggers (EKG ... Balloon #Pump #diagnosis
Atrial Fibrillation (A-Fib) Summary Symptoms: • Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope. Why? Cardiac: • Valvular heart
Cardiac: • Valvular ... wide-complex tachycardia: bundle ... Anticoagulation ≥4 weeks after ... 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 ... >LAP as atrial septum ... stretched PFO or ASD ... , and later (after ... clinical #pocus #a4c
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 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 ... than 5 to 7 days after ... #management #cardiology
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