8 results
ASD on Bubble Contrast Echocardiogram (a4c)
A patient with an anterior STEMI (take a look at the
ASD on Bubble Contrast ... previously undiagnosed ASD ... septal #defect #ASD ... #Bubble #Contrast ... #clinical #cardiology
Wolff–Parkinson–White syndrome (WPW) is one of several disorders of the electrical system of the heart that
pathway between the atria ... the bundle of Kent ... ventricles to contract ... reciprocating tachycardia ... #MedStudent #EKG
Wolff-Parkinson-White Syndrome

WPW is a congenital abnormality characterized by an abnormal accessory conduction pathway between the atria
pathway between the atria ... known as the bundle ... (Delta wave) 2 ... #Cardiology #ECG ... #Clinical #Diagnosis
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 ... block or WPW ... cardioversion 2. ... #diagnosis #management ... #cardiology
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
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
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