13 results
Large atrial septal defect on cardiac POCUS with an oddly satisfying bubble study.

Eric Abrams, MD @eabramsMD

#Bubble
Large atrial septal ... defect on cardiac ... #Study #ASD #Atrial ... Echocardiogram #A4C ... #Large
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 and clearly not a PFO. I want to personally thank all the
Large Atrial Septal ... Defect and clearly ... #Clinical #Cardiology ... Echocardiogram #A4C ... #ASD #Large #SeptalDefect
Atrial septal defect

An ECG may show the “crochetage” pattern (92% specific)—a notch near the apex of
Atrial septal defect ... inferior limb leads Large ... notches signify a larger ... #Cardiology #Crochetage ... #Sign #ASD
Premature Ventricular Complexes (PVC's) - Summary Framework

Why PVCs?  Can be the first manifestation of cardiac
manifestation of cardiac ... Hypokalemia • Bundle ... capture of the atria ... arrhythmia • Atrial ... fibrillation
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 ... PVeins (extra-cardiac ... clinical #pocus #a4c
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Effect in Right Atrium ... Small secundum ASD ... Flow from IVC hampering ... echocardiogram #s4c ... #pocus #bubble
Palpitations - Differential Diagnosis Framework

What?
• It is an unpleasant awareness or sensation that the heart is
exam • 12-lead ECG ... fibrillation/flutter ... Nonarrhythmic Cardiac ... palpitations: PVC ... #Palpitations #Cardiology
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
procedure • Cardiac ... Libman Sacks) • Atrial ... Glomerulonephritis Septic ... Paradoxical emboli via ASD ... ↑ ESR, CRP • EKG
Right Heart Catheterization - Pulmonary Artery Pressures and Calculations
PULMONARY VASCULAR RESISTANCE = (meanPAP-PCWP) / CO
 •
CARDIAC POWER OUTPUT ... correlate in the SHOCK trial ... consumption) can lead to large ... as 40% in cardiac ... catheter #diagnosis #cardiology