9 results
ASD on Bubble Contrast Echocardiogram (a4c)
A patient with an anterior STEMI (take a look at the
ASD on Bubble Contrast ... previously undiagnosed ASD ... Ivan_Echocardio #atrial ... #ASD #Bubble #Contrast ... Echocardiogram #a4c #clinical
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Small secundum ASD ... to right shunt 2. ... #Diagnosis #cardiology ... #clinical #echocardiogram ... #s4c #pocus #bubble
Wolff-Parkinson-White Syndrome

WPW is a congenital abnormality characterized by an abnormal accessory conduction pathway between the atria
pathway between the atria ... known as the bundle ... QRS interval on EKG ... (Delta wave) 2 ... #Clinical #Diagnosis
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
In AVNRT, the atria ... contract nearly ... EKG of the same ... are enough to diagnose ... “clinical electrophysiology
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 ... because one of the bundle ... #diagnosis #ekg ... electrocardiogram #clinical
Atrial Fibrillation (A-Fib) Summary

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

Why?
Cardiac:
	• Valvular heart
Decompensated HF ... wide-complex tachycardia: bundle ... cardioversion 2. ... Fibrillation #AFib #diagnosis ... #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. ... >LAP as atrial septum ... stretched PFO or ASD ... Echocardiogram #clinical
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
disease b) CHF ... indicated • EKG ... Obtain EKG if: ... Change in clinical ... stratification #diagnosis
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
other causes* 2. ... May have typical HF ... support for patients clinically ... Serial TTE and close ... #management #cardiology