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
Classic Digoxin-Associated Arrhythmias
 • Atrial fibrillation with an unusually slow ventricular response
 • Atrial Fibrillation with
Digoxin-Associated Arrhythmias ... Complete Heart Block and ... Accelerated Escape Rhythm ... with 2:1 AV Block ... #ekg #electrocardiogram
Multifocal Atrial Arrhythmias on ECG
Multifocal atrial rhythm & Multifocal atrial tachycardia
ECG Recognition:
 • Variable P wave
Arrhythmias on ... atrial rhythm & ... Irregular P P, RR and ... not gradual in contrast ... #electrocardiogram
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Negative Contrast ... Small secundum ASD ... to right shunt 2. ... echocardiogram #s4c ... #pocus #bubble
Multifocal Atrial Rhythm vs Wandering Atrial Pacemaker
Mutifocal Atrial Rhythm / Multifocal Atrial Tachycardia:
Belong to a group
Arrhythmia (MAA ... dominant pacemaker focus ... , in sharp contrast ... diagnosis #cardiology #ekg ... #ecg #electrocardiogram
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
death. 2. ... Subepicardial atrial ... • Predictor of arrhythmia ... #electrocardiogram ... #differential #
Giant dilated left atrium on Echocardiogram (a4c)
It belongs to a 92-year old lady with a history
Echocardiogram (a4c ... patient is in sinus rhythm ... aneurysm idiopathic. 2. ... ASD with R/L shunting ... clinical #cardiology #pocus
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
overload, irregular rhythm ... indicated • EKG ... Obtain EKG if: ... CV disease - Arrhythmia ... CARP, DECREASE V trials