12 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 ... septal #defect #ASD ... #Bubble #Contrast ... #pocus #shunting
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Negative Contrast ... Small secundum ASD ... #cardiology #clinical ... echocardiogram #s4c #pocus ... #bubble
Multifocal Atrial Arrhythmias on ECG
Multifocal atrial rhythm & Multifocal atrial tachycardia
ECG Recognition:
 • Variable P wave
tachycardia ECG ... Irregular P P, RR and ... not gradual in contrast ... because one of the bundle ... #diagnosis #ekg
Wolff–Parkinson–White syndrome (WPW) is one of several disorders of the electrical system of the heart that
pathway between the atria ... the bundle of Kent ... ) may stimulate ... ventricles to contract ... Pathophysiology #Diagnosis
Multifocal Atrial Rhythm vs Wandering Atrial Pacemaker
Mutifocal Atrial Rhythm / Multifocal Atrial Tachycardia:
Belong to a group
both MAT (atrial ... dominant pacemaker focus ... rhythm, in sharp contrast ... #cardiology #ekg ... #ecg #electrocardiogram
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
In AVNRT, the atria ... contract nearly ... simultaneously at ... EKG of the same ... are enough to diagnose
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Libman Sacks) • Atrial ... occlusion that may ... Paradoxical emboli via ASD ... ↑ ESR, CRP • EKG ... #cardiology
Premature Ventricular Complexes (PVC's) - Summary Framework

Why PVCs?  Can be the first manifestation of cardiac
Hypokalemia • Bundle ... capture of the atria ... Differential Diagnosis ... arrhythmia • Atrial ... #differential #cardiology
Atrioventricular (AV) Blocks

First Degree AV Block - "If your R is far from your P than
- "If your P's and ... independently of the atria ... node dissociation and ... heart #heartblock #cardiology ... #ecg #ekg #diagnosis
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
on this saline contrast ... Early transit of bubbles ... >LAP as atrial septum ... stretched PFO or ASD ... Echocardiogram #clinical #pocus