8 results
Coronary Artery Embolism - Etiology and Scoring
Etiology:
 • Direct: Clot (LV thrombus, LAA Thrombus), Valve (Vegetation,
Coronary Artery ... Paradoxical: Right to Left ... Angiography or Cardiac ... non-culprit vessels • Atrial ... , h/o of cardiac
Giant dilated left atrium on Echocardiogram (a4c)
It belongs to a 92-year old lady with a history
sinus rhythm... 1. ... aneurysm idiopathic. 2. ... ASD with R/L shunting ... #clinical #cardiology ... #pocus
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Differential Diagnosis 1. ... or PFO with left ... to right shunt 2. ... echocardiogram #s4c #pocus ... #bubble
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 1. ... cardioversion 2. ... Anticoagulation ≥4 weeks after
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
Early transit of bubbles ... as RAP>LAP as atrial ... septum shifts left ... PVeins (extra-cardiac ... Echocardiogram #clinical #pocus
Noncardiogenic Pulmonary Edema - Differential Diagnosis Framework

NCPE Pathophysiology:
Noncardiogenic pulmonary edema occurs because of excessive pulmonary capillary
Causes include: 1. ... system activity, 2. ... lack of acute cardiac ... ischemic changes CXR ... size • Normal left
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- ... stratification is left ... at the time of arrival ... #PatientInfo #Cardiology
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
/50 Rule (part 1) ... a chest x-ray (CXR ... /50 Rule (part 2) ... .2 With multiple ... #Radiology #CTChest