8 results
ASD on Bubble Contrast Echocardiogram (a4c)
A patient with an anterior STEMI (take a look at the
ASD on Bubble Contrast ... Echocardiogram (a4c ... Ivan_Echocardio #atrial ... #ASD #Bubble #Contrast ... #clinical #cardiology
Large atrial septal defect on cardiac POCUS with an oddly satisfying bubble study.

Eric Abrams, MD @eabramsMD

#Bubble
Large atrial septal ... defect on cardiac ... #SeptalDefect #Clinical ... #Cardiology #POCUS ... Echocardiogram #A4C
Negative contrast effect = a washout of the contrast (agitated saline) in the right atrium in
) in the right atrium ... #washout #ASD #atrial ... #septal #defect ... #a4c #Echocardiogram ... #clinical #cardiology
Multifocal Atrial Arrhythmias on ECG
Multifocal atrial rhythm & Multifocal atrial tachycardia
ECG Recognition:
 • Variable P wave
Arrhythmias on ECG ... not gradual in contrast ... because one of the bundle ... #tachycardia #cardiology ... electrocardiogram #clinical
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Negative Contrast ... Effect in Right Atrium ... Differential #Diagnosis #cardiology ... #clinical #echocardiogram ... #s4c #pocus #bubble
Septal Hypertrophic Cardiomyopathy (HOCM)

52yo worsening exertional sx and murmur. EKG nonspecific, Serial trops (-) 
EM resident
EKG nonspecific, ... Serial trops (- ... #HOCM #HCM #clinical ... echocardiogram #plax ... #cardiology #pocus
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
Early transit of bubbles ... as RAP>LAP as atrial ... Echocardiogram #clinical ... #pocus #a4c #intrapulmonary ... #cardiology #saline
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Obtain EKG if: ... Change in clinical ... - Cataract Plan ... one post op Cardiology ... CARP, DECREASE V trials