12 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
Coronary Artery Embolism - Etiology and Scoring
Etiology:
 • Direct: Clot (LV thrombus, LAA Thrombus), Valve (Vegetation,
Angiography or Cardiac ... Fibrillation ... risk factors: cardiomyopathy ... prosthetic valve, PFO, ASD ... , h/o of cardiac
Premature Ventricular Complexes (PVC's) - Summary Framework

Why PVCs?  Can be the first manifestation of cardiac
manifestation of cardiac ... arrhythmia syndromes (e.g ... Hypokalemia • Bundle ... 300 = NSVT EKG ... fibrillation
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
(e.g., familial ... hemodynamics (e.g ... LVEF recovery (e.g ... teratogenic GDMT meds (e.g ... Serial TTE and close
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
Palpitations - Differential Diagnosis Framework

What?
• It is an unpleasant awareness or sensation that the heart is
exam • 12-lead ECG ... fibrillation/flutter ... Causes: • Cardiomyopathy ... Valvular disease (e.g ... • Hypertrophic cardiomyopathy
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
Amyloidosis - Summary
Group of disorders associated with extracellular deposition of fibrils formed from low-molecular-weight proteins in
Clinical suspicion 2. ... AL Cardiac: • ... LVH, low-voltage EKG ... Testing: • EKG ... disproportionate atrial
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
exam Determine Cardiac ... indicated • EKG ... Obtain EKG if: ... postoperative cardiac ... CARP, DECREASE V trials