10 results
ASD on Bubble Contrast Echocardiogram (a4c)
A patient with an anterior STEMI (take a look at the
ASD on Bubble Contrast ... LV apex) and a ... previously undiagnosed ASD ... Ivan_Echocardio #atrial ... #ASD #Bubble #Contrast
Severe Mitral Stenosis- The physical examination revealed a right parasternal heave, a loud S1, a midpeaking
Severe Mitral Stenosis ... murmur (grade 2/ ... An electrocardiogram ... , LV left ventricle ... stenotic mitral
Coronary Artery Embolism - Etiology and Scoring
Etiology:
 • Direct: Clot (LV thrombus, LAA Thrombus), Valve (Vegetation,
Etiology: • Direct ... : Clot (LV thrombus ... Minor: • < 25% stenosis ... non-culprit vessels • Atrial ... prosthetic valve, PFO, ASD
Atrial Fibrillation (A-Fib) Summary

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

Why?
Cardiac:
	• Valvular heart
and left atria, ... of the right and ... cardioversion 2. ... Moderate or severe mitral ... stenosis • Mechanical
Rheumatic Heart Disease - Mitral Stenosis on Echocardiogram
(1) Thickened and fibrosed MV leaflets - rheumatic etiology
(2) Lvef 25-30% ... seen in LA by the ... (7) patient in atrial ... #clinical #cardiology ... #a4c #thrombus
Causes of Primary and Functional Mitral Regurgitation (MR) 
Causes of primary mitral regurgitation
 - Rheumatic heart
stenosis - Infective ... prolapse beyond the ... plane into left atrium ... muscle injury: Direct ... Differential #Diagnosis #Cardiology
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
in Right Atrium ... Small secundum ASD ... to right shunt 2. ... echocardiogram #s4c ... #pocus #bubble
Apical 2-Chamber (A2C) Window on POCUS Echocardiogram

Helpful to distinguish anterior and inferior regional wall motion abnormalities.
Apical 2-Chamber ... for associated LV ... thrombus. ... pooling of blood in the ... EF -> visible mural
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
dysfunction or LV ... one post op Cardiology ... Severe Aortic stenosis ... CARP, DECREASE V trials ... management for select
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
Early transit of bubbles ... = PFO 2. ... >LAP as atrial septum ... stretched PFO or ASD ... clinical #pocus #a4c