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

An elderly patient with dyspnea -
(ASD) with Shunting ... with dyspnea - ASD ... Septal #Defect #ASD ... #clinical #pocus ... #bubble #Shunting
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 ... #shunting
Wolff-Parkinson-White Syndrome

WPW is a congenital abnormality characterized by an abnormal accessory conduction pathway between the atria
pathway between the atria ... known as the bundle ... is ablation. 1 ... (Delta wave) 2 ... #EKG #Electrocardiogram
Giant dilated left atrium on Echocardiogram (a4c)
It belongs to a 92-year old lady with a history
Echocardiogram (a4c ... sinus rhythm... 1. ... aneurysm idiopathic. 2. ... ASD with R/L shunting ... clinical #cardiology #pocus
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Diagnosis 1. ... Small secundum ASD ... to right shunt 2. ... echocardiogram #s4c ... #pocus #bubble
Premature Ventricular Complexes (PVC's) - Summary Framework

Why PVCs?  Can be the first manifestation of cardiac
Hypokalemia • Bundle ... : • Low: <1 percent ... Intermediate burden: >1 ... 300 = NSVT EKG ... capture of the atria
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
1. ... death. 2. ... Subepicardial atrial ... #electrocardiogram ... #diagnosis #ekg
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
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
Early transit of bubbles ... >LAP as atrial septum ... stretched PFO or ASD ... Echocardiogram #clinical #pocus ... #a4c #intrapulmonary
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
indicated • EKG ... Obtain EKG if: ... indication of AC ... Recent PCI/stenting ... CARP, DECREASE V trials