12 results
Atrial Septal Defect (ASD) with Shunting on Echocardiogram with Contrast (a4c)

An elderly patient with dyspnea -
Atrial Septal Defect ... (ASD) with Shunting ... (a4c) An elderly ... #pocus #bubble # ... Shunting
ASD on Bubble Contrast Echocardiogram (a4c)
A patient with an anterior STEMI (take a look at the
ASD on Bubble Contrast ... Ivan_Echocardio #atrial ... #Bubble #Contrast ... #clinical #cardiology ... #pocus #shunting
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Small secundum ASD ... or PFO with left ... #cardiology #clinical ... echocardiogram #s4c ... #pocus #bubble
Multifocal Atrial Arrhythmias on ECG
Multifocal atrial rhythm & Multifocal atrial tachycardia
ECG Recognition:
 • Variable P wave
Arrhythmias on ECG ... tachycardia ECG ... not gradual in contrast ... because one of the bundle ... #diagnosis #ekg
Giant dilated left atrium on Echocardiogram (a4c)
It belongs to a 92-year old lady with a history
Giant dilated left ... ASD with R/L shunting ... #atrium #a4c #Echocardiogram ... #clinical #cardiology ... #pocus
Wolff–Parkinson–White syndrome (WPW) is one of several disorders of the electrical system of the heart that
pathway between the atria ... (known as the bundle ... ventricles to contract ... Pathophysiology #Diagnosis ... #EKG #WPW #WolffParkinsonWhite
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 ... Echocardiogram #clinical #pocus ... #a4c #intrapulmonary
Multifocal Atrial Rhythm vs Wandering Atrial Pacemaker
Mutifocal Atrial Rhythm / Multifocal Atrial Tachycardia:
Belong to a group
criteria for the diagnosis ... dominant pacemaker focus ... rhythm, in sharp contrast ... #cardiology #ekg ... #ecg #electrocardiogram
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Libman Sacks) • Atrial ... Paradoxical emboli via ASD ... ↑ ESR, CRP • EKG ... • Left sided > Right ... #management #cardiology
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
indicated • EKG ... Obtain EKG if: ... Recent PCI/stenting ... CARP, DECREASE V trials ... stratification #diagnosis