11 results
Atrial Septal Defect (ASD) with Shunting on Echocardiogram with Contrast (a4c)

An elderly patient with dyspnea -
Atrial Septal Defect ... (ASD) with Shunting ... Ivan_Echocardio #Atrial ... #Contrast #a4c ... clinical #pocus #bubble
ASD on Bubble Contrast Echocardiogram (a4c)
A patient with an anterior STEMI (take a look at the
ASD on Bubble Contrast ... Ivan_Echocardio #atrial ... #septal #defect ... #ASD #Bubble #Contrast ... cardiology #pocus #shunting
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 ... #pocus #bubble
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
Atrial flutter ... (3) SVTs - atrial ... (3) Multifocal atrial ... #EKG #diagnosis ... #electrocardiogram
EKG Interpretation Cheat Sheet
1) Rate 
 - Regular - Count-Off 
 - Irregular - Count number
origin within the atria ... (e.g. ectopic atrial ... Morphology = multifocal atrial ... • Saw-Tooth = Atrial ... #Electrocardiogram
Atrioventricular (AV) Blocks

First Degree AV Block - "If your R is far from your P than
- Mobitz Type 2 ... a Mobitz Type 2" ... independently of the atria ... #ekg #diagnosis ... #electrocardiogram
Multifocal Atrial Arrhythmias on ECG
Multifocal atrial rhythm & Multifocal atrial tachycardia
ECG Recognition:
 • Variable P wave
Multifocal Atrial ... Multifocal atrial ... rhythm & Multifocal atrial ... MAT #Multifocal #atrial ... #electrocardiogram
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
failure, and death. 2. ... Subepicardial atrial ... : AVNRT, AVRT, atrial ... #electrocardiogram ... #differential #
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
Early transit of bubbles ... = PFO 2. ... as RAP>LAP as atrial ... septum shifts left ... clinical #pocus #a4c
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Libman Sacks) • Atrial ... Glomerulonephritis Septic ... Marantic (NTBE) Differential ... ↑ ESR, CRP • EKG ... lesions, heart block