10 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
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
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 ... (< 5% pts with afibb ... #diagnosis #management ... #cardiology
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Regular Rhythm: ... - Observe and ... cause Irregular Rhythm ... #Treatment #management ... #cardiology #algorithm
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
Palpitations - Differential Diagnosis Framework

What?
• It is an unpleasant awareness or sensation that the heart is
exam • 12-lead ECG ... Rhythm Regularity ... regular rhythms ... /Afib/WPW) • Loss ... #Palpitations #Cardiology
Multifocal Atrial Rhythm vs Wandering Atrial Pacemaker
Mutifocal Atrial Rhythm / Multifocal Atrial Tachycardia:
Belong to a group
Atrial Tachycardia ... , in sharp contrast ... #Rhythm #tachycardia ... wap #diagnosis #cardiology ... #ekg #ecg #electrocardiogram
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
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
on this saline contrast ... 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 ... surgical management