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

Eric Abrams, MD @eabramsMD

#Bubble
Large atrial septal ... #Study #ASD #Atrial ... SeptalDefect #Clinical #Cardiology ... #POCUS #Echocardiogram ... #A4C #Large
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
on POCUS Echocardiogram ... RV, McConnell's sign ... , and additional ... #A4c #clinical ... #cardiology #McConnells
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
J point • De Winter ... , often with 1-2 ... V2 • Wellens sign ... pain • Wellens sign ... #differential #cardiology
Wellens' Sign: LAD-T Wave Inversion 
Life threatening T wave inversions in precordial leads. Often V2-V3 
Specific
Wellens' Sign: LAD-T ... High rate in <1 ... without chest pain, as ... Serial EKGS in pts ... Electrocardiogram #Diagnosis #Cardiology
Wolff-Parkinson-White Syndrome

WPW is a congenital abnormality characterized by an abnormal accessory conduction pathway between the atria
pathway between the atria ... known as the bundle ... out for a delta wave ... is ablation. 1 ... WolffParkinsonWhite #WPW #Cardiology
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
Pathologic Q - 1/ ... Equivalents / Don't Miss Signs ... bigger than QRS - deWinter ... upsloping ST dep and ... electrocardiogram #cardiology
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
STE: "Pardee's sign ... Abnormalities • Left Bundle ... QRS complex Pulmonary ... (Eiffel Tower sign ... differential #diagnosis #cardiology
Atrioventricular (AV) Blocks

First Degree AV Block - "If your R is far from your P than
- "If your P's and ... independently of the atria ... node dissociation and ... (AV node, His Bundle ... heart #heartblock #cardiology
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Differential Diagnosis 1. ... Small secundum ASD ... Differential #Diagnosis #cardiology ... #clinical #echocardiogram ... #s4c #pocus #bubble