11 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 ... septal #defect #ASD ... #clinical #cardiology
Negative contrast effect = a washout of the contrast (agitated saline) in the right atrium in
) in the right atrium ... patient with an ASD ... effect #washout #ASD ... #atrial #septal ... #defect #a4c #Echocardiogram
Giant dilated left atrium on Echocardiogram (a4c)
It belongs to a 92-year old lady with a history
Giant dilated left atrium ... Mitral valve doesn ... ASD with R/L shunting ... dilated #left #atrium ... #clinical #cardiology
Causes of Primary and Functional Mitral Regurgitation (MR) 
Causes of primary mitral regurgitation
 - Rheumatic heart
Regurgitation ( ... plane into left atrium ... inferior wall - Congenital ... #Mitral #Regurgitation ... Differential #Diagnosis #Cardiology
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Negative Contrast ... Effect in Right Atrium ... Small secundum ASD ... Effect #Right #Atrium ... echocardiogram #s4c
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 ... regurgitation
Rheumatic Heart Disease - Mitral Stenosis on Echocardiogram
(1) Thickened and fibrosed MV leaflets - rheumatic etiology
Heart Disease - Mitral ... spontaneous echo contrast ... (7) patient in atrial ... #Rheumatic #Mitral ... #a4c #thrombus
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Prosthetic valve • Congenital ... mitral regurgitation ... Libman Sacks) • Atrial ... Paradoxical emboli via ASD ... Marantic: Emboli > Regurgitation
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
on this saline contrast ... >LAP as atrial septum ... stretched PFO or ASD ... clinical #pocus #a4c ... intrapulmonary #cardiology
Ebstein Anomaly on Echocardiogram

Ebstein anomaly. The tricuspid valve is ALWAYS more apically displaced than the mitral
displaced than the mitral ... the commonest congenital ... cause of tricuspid regurgitation ... with an atrial ... #a4c