12 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 ... #ASD #Echocardiogram ... clinical #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
Large atrial septal defect on cardiac POCUS with an oddly satisfying bubble study.

Eric Abrams, MD @eabramsMD

#Bubble
Large atrial septal ... oddly satisfying bubble ... @eabramsMD #Bubble ... #Study #ASD #Atrial ... Cardiology #POCUS #Echocardiogram
Negative contrast effect = a washout of the contrast (agitated saline) in the right atrium in
Negative contrast ... patient with an ASD ... effect #washout #ASD ... #atrial #septal ... #defect #a4c #Echocardiogram
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Negative Contrast ... Diagnosis 1. ... Small secundum ASD ... cardiology #clinical #echocardiogram ... #s4c #pocus #bubble
Coronary Artery Embolism - Etiology and Scoring
Etiology:
 • Direct: Clot (LV thrombus, LAA Thrombus), Valve (Vegetation,
non-culprit vessels • Atrial ... prosthetic valve, PFO, ASD ... Criteria) OR (1 ... Major + 1 Minor ... Embolism #diagnosis #differential
Differentiating NBTE from Infective Endocarditis
No pathognomonic signs/symptoms or echo features that are specific to NBTE, and
demonstration of platelet thrombi ... cultures/serology: Serial ... negative blood ... Frequent false-negative ... often small (<1
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
Double Shunt on Echocardiogram ... 1. ... Early transit of bubbles ... >LAP as atrial septum ... stretched PFO or ASD
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Libman Sacks) • Atrial ... • Coagulase-negative ... Glomerulonephritis Septic ... Marantic (NTBE) Differential ... Paradoxical emboli via ASD
Cryofibrinogenemia Summary

Cryofibrinogenemia Epidemiology:
 • 40-70 years with a modest female predominance

Cryofibrinogenemia:
 • The precipitation of a
Into Two Types: 1. ... ocular thrombi ... levels >1g/L • Negative ... cryoglobulins • Negative ... necrosis • DIC • Septic