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 ... #clinical #cardiology
Negative contrast effect = a washout of the contrast (agitated saline) in the right atrium in
) in the right atrium ... patient with an ASD ... effect #washout #ASD ... #atrial #septal ... #clinical #cardiology
Restrictive Cardiomyopathy on Echocardiogram - Apical 4 Chamber View

RCM is a disease of diastole —> severe
diastole —> severe atrial ... this degree of atrial ... mistake to avoid: atrial ... might look like asd ... An ASD with atria
Causes of Palpitations
 • ARRHYTHMiA 
 • SINUS ARRYTHMIA 
 • ATRIAL FIBRILLATION 
 • ATRIAL
ARRYTHMIA • ATRIAL ... FIBRILLATION • ATRIAL ... TACHYCARDIA • ATRIAL ... • HYPOXIA PSYCHIATRIC ... #Diagnosis #Cardiology
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Effect in Right Atrium ... Small secundum ASD ... Effect #Right #Atrium ... #Diagnosis #cardiology ... echocardiogram #s4c
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
In AVNRT, the atria ... contract nearly ... EKG of the same ... excludes other differentials ... PhysicalExam #JVP #Cardiology
Premature Ventricular Complexes (PVC's) - Summary Framework

Why PVCs?  Can be the first manifestation of cardiac
capture of the atria ... may not occur Differential ... arrhythmia • Atrial ... PVC #diagnosis #differential ... #cardiology
Coronary Artery Embolism - Etiology and Scoring
Etiology:
 • Direct: Clot (LV thrombus, LAA Thrombus), Valve (Vegetation,
non-culprit vessels • Atrial ... risk factors: cardiomyopathy ... prosthetic valve, PFO, ASD ... Embolism #diagnosis #differential ... scoring #criteria #cardiology
Palpitations - Differential Diagnosis Framework

What?
• It is an unpleasant awareness or sensation that the heart is
Paroxysmal AF, atrial ... flutter, or atrial ... Arrhythmias: • Atrial ... • Multifocal atrial ... #Palpitations #Cardiology
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
pulmonary hypertension ... >LAP as atrial septum ... stretched PFO or ASD ... clinical #pocus #a4c ... intrapulmonary #cardiology