11 results
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 ... not gradual in contrast ... #tachycardia #cardiology ... #diagnosis #ekg ... electrocardiogram #clinical #comparison
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Negative Contrast ... Effect in Right Atrium ... Small secundum ASD ... #cardiology #clinical ... echocardiogram #s4c
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
on this saline contrast ... >LAP as atrial septum ... stretched PFO or ASD ... PVeins (extra-cardiac ... clinical #pocus #a4c
Multifocal Atrial Rhythm vs Wandering Atrial Pacemaker
Mutifocal Atrial Rhythm / Multifocal Atrial Tachycardia:
Belong to a group
criteria for the diagnosis ... rhythm, in sharp contrast ... Pacemaker #wap #diagnosis ... #cardiology #ekg ... #comparison
Cardiac LV Thrombus on Echocardiogram (A4C)
48 year old woman in ICU for acute ischemic limb. PMHx
Echocardiogram (A4C ... maybe consider contrast ... the context of embolism ... are not POCUS: serial ... #clinical #cardiology
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