11 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
Atrial septal defect

An ECG may show the “crochetage” pattern (92% specific)—a notch near the apex of
Atrial septal defect ... An ECG may show ... shunt #ECG #EKG ... #Cardiology #Crochetage ... #Sign #ASD
Abnormal Jugular Venous Pressure Waveforms - Differential Diagnosis
 - Absent a wave - Atrial fibrillation, sinus
Abnormal Jugular ... fibrillation, sinus ... septal defect ... Absent y descent - Cardiac ... #PhysicalExam #cardiology
Cardiac Amyloid - Diagnosis, Signs, Symptoms and Management

Clinical Presentation
- exertional dyspnea
- peripheral edema
- exertional syncope
- peripheral
Cardiac Amyloid ... hepatomegaly - normal ... despite hx HTN) EKG ... precordial leads) - atrial ... fibrillation -
Cardiac Findings in Sarcoidosis
Most Commonly Affected Sites:
 - LV free wall (esp. basal posterior wall)
 -
Cardiac Findings ... Interventricular septum ... - Effusion ECG ... deviation - Abnormal ... #Sarcoidosis #Cardiology
Premature Ventricular Complexes (PVC's) - Summary Framework

Why PVCs?  Can be the first manifestation of cardiac
manifestation of cardiac ... arrhythmia syndromes (e.g ... 300 = NSVT EKG ... (≥ 0.12s) with abnormal ... fibrillation
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
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
Early transit of bubbles ... as RAP>LAP as atrial ... septum shifts left ... PVeins (extra-cardiac ... clinical #pocus #a4c
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
cardiomyopathy (e.g ... hemodynamics (e.g ... LVEF recovery (e.g ... teratogenic GDMT meds (e.g ... Serial TTE and close
Right Heart Catheterization - Pulmonary Artery Pressures and Calculations
PULMONARY VASCULAR RESISTANCE = (meanPAP-PCWP) / CO
 •
RV dysfunction. e.g ... have a low or normal ... CARDIAC POWER OUTPUT ... forward flow. e.g ... consumption) can lead to large