7 results
ASD Secundum with Bidirectional Shunting on Echocardiogram (A4c) with Contrast
Male , 50y/o, previous anterior MI with
ASD Secundum with ... (A4c) with Contrast ... pretibial oedema - ASD ... MilicicaStefano #ASD ... #pocus #a4c #contrast
Negative contrast effect = a washout of the contrast (agitated saline) in the right atrium in
Negative contrast ... patient with an ASD ... #washout #ASD # ... septal #defect #a4c ... #Echocardiogram
Mechanical Complications in Acute Myocardial Infarction
Acute LV/RV Dysfunction:
 • Regional wall motion, systolic and diastolic function,
• Typically ↑ mitral ... size < 0.5 • Bidirectional ... ) • May need contrast ... #cardiology #differential ... #diagnosis #timeline
Giant dilated left atrium on Echocardiogram (a4c)
It belongs to a 92-year old lady with a history
(a4c) It belongs ... MR was only mild ... Mitral valve doesn ... ASD with R/L shunting ... #clinical #cardiology
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
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
mitral regurgitation ... Culture (+): Acute ... • Coagulase-negative ... Paradoxical emboli via ASD ... #management #cardiology
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
mitral regurgitation ... Culture Positive: • Acute ... aureus, Coagulase-negative ... Paradoxical emboli via ASD ... #cardiology #infectiousdiseases