12 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
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
convert - Possible atrial ... flutter, ectopic atrial ... Rhythm: • Probable atrial ... fibrillation or possible atrial ... #management #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
Hepatopulmonary Syndrome - Diagnosis and Management Summary
A defect in arterial oxygenation due to a gas exchange
, 88% spec • Contrast-enhanced ... cycles after right atrial ... blood gas (ABC) ... cirrhosis • Intra-pulmonary ... ) on room air Treatment
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
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 ... more intensive treatment ... #cardiology
Palpitations - Differential Diagnosis Framework

What?
• It is an unpleasant awareness or sensation that the heart is
exam • 12-lead ECG ... Paroxysmal AF, atrial ... flutter, or atrial ... Arrhythmias: • Atrial ... • Multifocal atrial
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Libman Sacks) • Atrial ... Cerebral > Splenic, pulmonary ... Marantic (NTBE) Differential ... Paradoxical emboli via ASD ... diagnosis #management #cardiology