10 results
Classic Digoxin-Associated Arrhythmias
 • Atrial fibrillation with an unusually slow ventricular response
 • Atrial Fibrillation with
Complete Heart Block and ... Accelerated Escape Rhythm ... • Atrial Tachycardia ... with 2:1 AV Block ... #ecg #ekg #electrocardiogram
ASD on Bubble Contrast Echocardiogram (a4c)
A patient with an anterior STEMI (take a look at the
ASD on Bubble Contrast ... previously undiagnosed ASD ... Ivan_Echocardio #atrial ... #ASD #Bubble #Contrast ... #clinical #cardiology
Almost any type of cardiac arrhythmia is seen in digitalis toxic­ity. However, type II second-degree atrioventricular
junctional rhythm ... tachycardia with ... The various ECG ... #Diagnosis #Cardiology ... #EKG #ECG #Digoxin
Multifocal Atrial Arrhythmias on ECG
Multifocal atrial rhythm & Multifocal atrial tachycardia
ECG Recognition:
 • Variable P wave
rhythm & Multifocal ... atrial tachycardia ... Irregular P P, RR and ... not gradual in contrast ... #rhythm #tachycardia
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Negative Contrast ... Diagnosis 1. ... Small secundum ASD ... echocardiogram #s4c ... #pocus #bubble
Atrial Fibrillation (A-Fib) Summary

Symptoms:
• Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope.

Why?
Cardiac:
	• Valvular heart
Irregular wide-complex tachycardia ... : bundle branch ... thrombus • Digoxin ... Cardioversion 1. ... diagnosis #management #cardiology
Multifocal Atrial Rhythm vs Wandering Atrial Pacemaker
Mutifocal Atrial Rhythm / Multifocal Atrial Tachycardia:
Belong to a group
Atrial Tachycardia ... , in sharp contrast ... to AV dissociation ... #Rhythm #tachycardia ... #ekg #ecg #electrocardiogram
Premature Ventricular Complexes (PVC's) - Summary Framework

Why PVCs?  Can be the first manifestation of cardiac
Hypokalemia • Bundle ... Substances • Digoxin ... : • Low: <1 percent ... Intermediate burden: >1 ... capture of the atria
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
1. ... Early transit of bubbles ... >LAP as atrial septum ... stretched PFO or ASD ... clinical #pocus #a4c
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
overload, irregular rhythm ... Obtain EKG if: ... one post op Cardiology ... CARP, DECREASE V trials ... management for select