11 results
ASD on Bubble Contrast Echocardiogram (a4c)
A patient with an anterior STEMI (take a look at the
ASD on Bubble Contrast ... Ivan_Echocardio #atrial ... #ASD #Bubble #Contrast ... #clinical #cardiology ... #pocus #shunting
Classic Digoxin-Associated Arrhythmias
 • Atrial fibrillation with an unusually slow ventricular response
 • Atrial Fibrillation with
Accelerated Escape Rhythm ... • Atrial Tachycardia ... with 2:1 AV Block ... #Arrhythmias #diagnosis ... #cardiology #ecg
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Diagnosis 1. ... Small secundum ASD ... to right shunt 2. ... #Diagnosis #cardiology ... #pocus #bubble
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
(2) Atrial ... arrest - escape rhythms ... 1 , 3:2, 4:3, etc ... bradyarrhythmia #ECG ... #EKG #diagnosis
Multifocal Atrial Arrhythmias on ECG
Multifocal atrial rhythm & Multifocal atrial tachycardia
ECG Recognition:
 • Variable P wave
rhythm & Multifocal ... atrial tachycardia ... not gradual in contrast ... #rhythm #tachycardia ... #cardiology #diagnosis
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
1. ... failure, and death. 2. ... Subepicardial atrial ... #AVR #leadAVR #ecg ... #cardiology
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 1. ... cardioversion 2. ... Fibrillation #AFib #diagnosis
Multifocal Atrial Rhythm vs Wandering Atrial Pacemaker
Mutifocal Atrial Rhythm / Multifocal Atrial Tachycardia:
Belong to a group
Atrial Tachycardia ... dominant pacemaker focus ... , in sharp contrast ... #Rhythm #tachycardia ... #cardiology #ekg
Giant dilated left atrium on Echocardiogram (a4c)
It belongs to a 92-year old lady with a history
patient is in sinus rhythm ... ... 1. ... aneurysm idiopathic. 2. ... ASD with R/L shunting ... #pocus
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
1. ... Early transit of bubbles ... as RAP>LAP as atrial ... Echocardiogram #clinical #pocus ... #a4c #intrapulmonary