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

An elderly patient with dyspnea -
(ASD) with Shunting ... with dyspnea - ASD ... Septal #Defect #ASD ... #a4c #clinical ... #pocus #bubble #
ASD on Bubble Contrast Echocardiogram (a4c)
A patient with an anterior STEMI (take a look at the
ASD on Bubble Contrast ... septal #defect #ASD ... #Bubble #Contrast ... #clinical #cardiology ... #pocus #shunting
Large atrial septal defect on cardiac POCUS with an oddly satisfying bubble study.

Eric Abrams, MD @eabramsMD

#Bubble
Large atrial septal ... #Study #ASD #Atrial ... #SeptalDefect #Clinical ... #Cardiology #POCUS ... Echocardiogram #A4C
Negative contrast effect = a washout of the contrast (agitated saline) in the right atrium in
patient with an ASD ... effect #washout #ASD ... #defect #a4c #Echocardiogram ... #clinical #cardiology ... #pocus
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Negative Contrast ... Small secundum ASD ... to right shunt 2. ... #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 ... Irregular P P, RR and ... not gradual in contrast ... #clinical #comparison
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 ... cardioversion 2. ... #diagnosis #management ... #cardiology
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 ... Echocardiogram #clinical ... #pocus #a4c #intrapulmonary
Giant dilated left atrium on Echocardiogram (a4c)
It belongs to a 92-year old lady with a history
Echocardiogram (a4c ... aneurysm idiopathic. 2. ... ASD with R/L shunting ... #clinical #cardiology ... #pocus
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Obtain EKG if: ... Change in clinical ... one post op Cardiology ... CARP, DECREASE V trials ... surgical management