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cardiology differential clinical ecg electrocardiogram contrast echocardiogram endocarditis management 1: a4c approach arrhythmias artery bubble cardiomyopathy coronary criteria digoxin doubleshunt
Classic Digoxin-Associated Arrhythmias • Atrial fibrillation with an unusually slow ventricular response • Atrial Fibrillation with
Arrhythmias • Atrial ... ventricular response • Atrial ... Escape Rhythm • Atrial ... Tachycardia with 2: ... #cardiology #ecg
Wolff-Parkinson-White Syndrome WPW is a congenital abnormality characterized by an abnormal accessory conduction pathway between the atria
Syndrome WPW is a congenital ... pathway between the atria ... (Delta wave) 2 ... WolffParkinsonWhite #WPW #Cardiology ... #Clinical #Diagnosis
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
Approach to ECGs Check - Age, gender, name - 25mm/s; 10mm/mV - 1mm = 40ms; 0.1 mV Rate
QRS in 10s - 2 ... : WPW, ectopic atrial ... hypo K, hypo Mg, congenital ... #EKG #diagnosis ... electrocardiogram #cardiology
Palpitations - Differential Diagnosis Framework What? • It is an unpleasant awareness or sensation that the heart is
Paroxysmal AF, atrial ... flutter, or atrial ... Arrhythmias: • Atrial ... • Multifocal atrial ... #Palpitations #Cardiology
Negative Contrast Effect in Right Atrium - Differential Diagnosis 1. Small secundum ASD or PFO with left
Effect in Right Atrium ... Small secundum ASD ... to right shunt 2. ... Effect #Right #Atrium ... echocardiogram #s4c #pocus
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 Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
Prosthetic valve • Congenital ... Libman Sacks) • Atrial ... Paradoxical emboli via ASD ... ↑ ESR, CRP • EKG ... #management #cardiology
Peripartum Cardiomyopathy - Summary 1. Definition • Towards the end of pregnancy to 5 months postpartum
other causes* 2. ... heart disease • Congenital ... timing with Cardio-OB ... Serial TTE and close ... follow-up with Cardio-OB
Endocarditis - Overview and Differential Diagnosis Framework Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV
Differential Diagnosis ... Prosthetic valve • Congenital ... Libman Sacks) • Atrial ... Paradoxical emboli via ASD ... ↑ ESR, CRP • EKG
Double Shunt on Echocardiogram What do you see on this saline contrast study, in a patient with
bubbles = PFO 2. ... >LAP as atrial septum ... stretched PFO or ASD ... PVeins (extra-cardiac ... Echocardiogram #clinical #pocus
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