11 results
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
Coronary Artery Embolism - Etiology and Scoring
Etiology:
 • Direct: Clot (LV thrombus, LAA Thrombus), Valve (Vegetation,
Angiography or Cardiac ... non-culprit vessels • Atrial ... prosthetic valve, PFO, ASD ... , h/o of cardiac ... #diagnosis #differential
EKG in Acute Pulmonary Embolism
The sensitivity and specificity for EKG findings in acute PE are low.
EKG
Embolism The sensitivity ... other causes of cardio-pulmonary ... also a result of atrial ... #Embolism #AcutePE ... #diagnosis #cardiology
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Libman Sacks) • Atrial ... via ASD • Metastatic ... Diagnosis? ... ↑ ESR, CRP • EKG ... #management #cardiology
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
Differential Diagnosis ... Libman Sacks) • Atrial ... : • New cardiac ... via ASD • Metastatic ... ↑ ESR, CRP • EKG
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
Premature Ventricular Complexes (PVC's) - Summary Framework

Why PVCs?  Can be the first manifestation of cardiac
manifestation of cardiac ... Hypokalemia • Bundle ... 300 = NSVT EKG ... capture of the atria ... arrhythmia • Atrial
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 ... PVeins (extra-cardiac ... clinical #pocus #a4c
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
• Pulmonary embolus ... timing with Cardio-OB ... Serial TTE and close ... follow-up with Cardio-OB ... #management #cardiology