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

An elderly patient with dyspnea -
Atrial Septal Defect ... (ASD) with Shunting ... with dyspnea - ASD ... Septal #Defect #ASD ... #pocus #bubble #
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 ... #Bubble #Contrast
Wolff–Parkinson–White syndrome (WPW) is one of several disorders of the electrical system of the heart that
pathway between the atria ... ventricles to contract ... prematurely, resulting ... Cardiology #MedStudent #EKG ... DeltaWave #ShortPR #Criteria
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Negative Contrast ... - Differential ... Small secundum ASD ... echocardiogram #s4c ... #pocus #bubble
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
Subepicardial atrial ... aVR • Classic EKG ... #electrocardiogram ... #diagnosis #ekg ... #differential #
Premature Ventricular Complexes (PVC's) - Summary Framework

Why PVCs?  Can be the first manifestation of cardiac
Hypokalemia • Bundle ... 300 = NSVT EKG ... capture of the atria ... may not occur Differential ... arrhythmia • Atrial
Multifocal Atrial Arrhythmias on ECG
Multifocal atrial rhythm & Multifocal atrial tachycardia
ECG Recognition:
 • Variable P wave
Irregular P P, RR and ... not gradual in contrast ... because one of the bundle ... cardiology #diagnosis #ekg ... #electrocardiogram
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 ... clinical #pocus #a4c
Multifocal Atrial Rhythm vs Wandering Atrial Pacemaker
Mutifocal Atrial Rhythm / Multifocal Atrial Tachycardia:
Belong to a group
electrocardiographic criteria ... 100 beats/min) and ... rhythm, in sharp contrast ... diagnosis #cardiology #ekg ... #ecg #electrocardiogram
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Libman Sacks) • Atrial ... Marantic (NTBE) Differential ... Paradoxical emboli via ASD ... -> TEE • Duke Criteria ... ↑ ESR, CRP • EKG