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cardiology clinical echocardiogram a4c contrast differential 1: afib artery asd atrium cardiomyopathy coronary criteria doubleshunt effect embolism endocarditis evaluation fibrillation
Large atrial septal defect on cardiac POCUS with an oddly satisfying bubble study. Eric Abrams, MD @eabramsMD #Bubble
Large atrial septal ... defect on cardiac ... satisfying bubble ... #Study #ASD #Atrial ... SeptalDefect #Clinical #Cardiology
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 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 ... Artery #Embolism #diagnosis
Negative Contrast Effect in Right Atrium - Differential Diagnosis 1. Small secundum ASD or PFO with left
Small secundum ASD ... to right shunt 2. ... #cardiology #clinical ... echocardiogram #s4c #pocus ... #bubble
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 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 ... cardioversion 2. ... Fibrillation #AFib #diagnosis ... #management #cardiology
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
dental procedure • Cardiac ... Libman Sacks) • Atrial ... : • New cardiac ... Paradoxical emboli via ASD ... #management #cardiology
Double Shunt on Echocardiogram What do you see on this saline contrast study, in a patient with
Early transit of bubbles ... = PFO 2. ... as RAP>LAP as atrial ... PVeins (extra-cardiac ... Echocardiogram #clinical #pocus
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 Heart failure with Reduced Ejection Fraction (HFrEF) Clinical Presentation 1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
ankle swelling. 2. ... → no signs of CXR ... congestion. 2. ... Consider cardiac ... #management #cardiology
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
exam Determine Cardiac ... postoperative cardiac ... CARP, DECREASE V trials ... medical and surgical management ... stratification #diagnosis
Peripartum Cardiomyopathy - Summary 1. Definition • Towards the end of pregnancy to 5 months postpartum
other causes* 2. ... and timing with Cardio-OB ... Serial TTE and close ... follow-up with Cardio-OB ... #management #cardiology
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