13 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 ... Ivan_Echocardio #atrial ... septal #defect #ASD ... #Bubble #Contrast
Negative contrast effect = a washout of the contrast (agitated saline) in the right atrium in
Negative contrast ... patient with an ASD ... #washout #ASD # ... defect #a4c #Echocardiogram ... #clinical #cardiology
Multifocal Atrial Arrhythmias on ECG
Multifocal atrial rhythm & Multifocal atrial tachycardia
ECG Recognition:
 • Variable P wave
Arrhythmias on ... tachycardia ECG ... Irregular P P, RR and ... not gradual in contrast ... #cardiology #diagnosis
EKG in Acute Pulmonary Embolism
The sensitivity and specificity for EKG findings in acute PE are low.
EKG
Drive: • Sinus Tachycardia ... common finding) • Atrial ... Arrhythmia* (e.g ... ., A-Fib also a ... result of atrial
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Negative Contrast ... Effect in Right Atrium ... Small secundum ASD ... echocardiogram #s4c ... #pocus #bubble
Palpitations - Differential Diagnosis Framework

What?
• It is an unpleasant awareness or sensation that the heart is
exam • 12-lead ECG ... Valvular disease (e.g ... brain flow (VT/Vfib ... /Afib/WPW) • Loss ... #Palpitations #Cardiology
Atrial Fibrillation (A-Fib) Summary

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

Why?
Cardiac:
	• Valvular heart
Common Sustained Arrhythmia ... Irregular wide-complex tachycardia ... : bundle branch ... #diagnosis #management ... #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
Premature Ventricular Complexes (PVC's) - Summary Framework

Why PVCs?  Can be the first manifestation of cardiac
Cardiomyopathy • Inherited arrhythmia ... Hypokalemia • Bundle ... capture of the atria ... • Sinus arrhythmia ... • Atrial fibrillation
Multifocal Atrial Rhythm vs Wandering Atrial Pacemaker
Mutifocal Atrial Rhythm / Multifocal Atrial Tachycardia:
Belong to a group
Tachycardia: Belong ... Arrhythmia (MAA ... rhythm, in sharp contrast ... #Rhythm #tachycardia ... #ekg #ecg #electrocardiogram