8 results
Giant dilated left atrium on Echocardiogram (a4c)
It belongs to a 92-year old lady with a history
MR was only mild ... patient is in sinus ... rhythm... 1. ... aneurysm idiopathic. 2. ... #atrium #a4c #Echocardiogram
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
1. ... indicative of left ... failure, and death. 2. ... findings: Sinus ... #cardiology
Atrial Fibrillation (A-Fib) Summary

Symptoms:
• Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope.

Why?
Cardiac:
	• Valvular heart
benefit of restoring sinus ... Cardioversion 1. ... cardioversion 2. ... Fibrillation #AFib #diagnosis ... #management #cardiology
Bradycardia
1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
Pads in AP position ... Consider DDx - Don't Let ... #bradycardia #diagnosis ... #differential #management ... #cardiology
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
1. ... >LAP as atrial septum ... shifts left ... stretched PFO or ASD ... clinical #pocus #a4c
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
1. ... Small secundum ASD ... or PFO with left ... to right shunt 2. ... echocardiogram #s4c
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
indicated • EKG ... Obtain EKG if: ... CARP, DECREASE V trials ... medical and surgical management ... stratification #diagnosis
If the patient has a HEART Score of 0-3 and a negative initial troponin, have a
been lowered to < 1% ... choice to recommend 1- ... week follow-up was ... stratification is left ... #Management #PatientInfo