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cardiology diagnosis asd clinical echocardiogram endocarditis management pocus 1: 2 abnormal artery calculations cardiomyopathy catheterization complexes contrast crochetage doubleshunt equations
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
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 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
Pressure Waveforms - Differential ... fibrillation, sinus ... septal defect ... Absent y descent - Cardiac ... #PhysicalExam #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 ... fibrillation ... #cardiology
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 ... Marantic (NTBE) Differential ... ↑ ESR, CRP • EKG
Palpitations - Differential Diagnosis Framework What? • It is an unpleasant awareness or sensation that the heart is
Palpitations - Differential ... exam • 12-lead ECG ... fibrillation/flutter ... Valvular disease (e.g ... #Differential #
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 ... much as 40% in cardiac
Endocarditis - Overview and Differential Diagnosis Framework Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV
- Overview and Differential ... substance use • IV catheter ... Libman Sacks) • Atrial ... tumor embolism Septic ... ↑ 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
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 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
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