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
Intra-Aortic Balloon Pump (IABP)

Intra-aortic balloon counter-pulsation is a method of invasive hemodynamic support. A catheter is
A catheter is placed ... through an arterial ... sync with the cardiac ... improves coronary artery ... • Triggers (EKG
Premature Ventricular Complexes (PVC's) - Summary Framework

Why PVCs?  Can be the first manifestation of cardiac
manifestation of cardiac ... including: • Coronary artery ... arrhythmia syndromes (e.g ... 300 = NSVT EKG ... fibrillation
Intraoperative Sepsis - Guidelines for Crises in Anaesthesia

Severe sepsis (hypotension persisting after initial fluid challenge of
have caused a septic ... Check serial lactates ... Insert urinary catheter ... Consider monitoring cardiac ... cultures if possible (eg
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
substance use • IV catheter ... Libman Sacks) • Atrial ... Glomerulonephritis Septic ... ↑ ESR, CRP • EKG ... than 5 to 7 days after
Right Heart Catheterization - Pulmonary Artery Pressures and Calculations
PULMONARY VASCULAR RESISTANCE = (meanPAP-PCWP) / CO
 •
RV dysfunction. e.g ... CARDIAC POWER OUTPUT ... forward flow. e.g ... consumption) can lead to large ... #catheter #diagnosis
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
Palpitations - Differential Diagnosis Framework

What?
• It is an unpleasant awareness or sensation that the heart is
exam • 12-lead ECG ... fibrillation/flutter ... Valvular disease (e.g ... Standing up straight after ... #Palpitations #Cardiology
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
substance use • IV catheter ... Libman Sacks) • Atrial ... tumor embolism Septic ... ↑ ESR, CRP • EKG ... than 5 to 7 days after