11 results
Coronary Artery Embolism - Etiology and Scoring
Etiology:
 • Direct: Clot (LV thrombus, LAA Thrombus), Valve (Vegetation,
Coronary Artery ... Fibroelastoma), Mass (Myxoma ... Paradoxical: Right to Left ... non-culprit vessels • Atrial ... #cardiology
Massive Left Atrial Myxoma on Echocardiogram (TEE)
Pt admitted for SOB x 2 months with episode of
Massive Left Atrial ... Myxoma on Echocardiogram ... admitted for SOB x 2 ... @RussSayin #Atrial ... TEE #clinical #cardiology
Atrial Fibrillation (A-Fib) Summary

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

Why?
Cardiac:
	• Valvular heart
Atrial Fibrillation ... risk factors Atrial ... atria, the size ... atrial thrombus ... atrial occlusion
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Effect in Right Atrium ... ASD or PFO with left ... to right shunt 2. ... Effect #Right #Atrium ... Differential #Diagnosis #cardiology
Causes of mitral stenosis
Rheumatic heart disease
 - Most common cause worldwide. Commissural fusion, thick MV leaflets
vegetations)/tumor (left ... atrial myxoma)/ ... ball valve thrombus ... occur 10—20 years after ... #differential #cardiology
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
main coronary artery ... failure, and death. 2. ... Subepicardial atrial ... : AVNRT, AVRT, atrial ... #differential #cardiology
Hepatopulmonary Syndrome - Diagnosis and Management Summary
A defect in arterial oxygenation due to a gas exchange
anatomic shunt (Type 2) ... Microbubbles appear in left ... right atrial passage ... gas (ABC) analysis ... HPS Diagnostic Criteria
Rheumatic Heart Disease - Mitral Stenosis on Echocardiogram
(1) Thickened and fibrosed MV leaflets - rheumatic etiology
(2) Lvef 25-30% ... spontaneous echo contrast ... (7) patient in atrial ... Echocardiogram #clinical #cardiology ... #a4c #thrombus
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
as RAP>LAP as atrial ... septum shifts left ... ASD, and later (after ... clinical #pocus #a4c ... intrapulmonary #cardiology
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Libman Sacks) • Atrial ... myxoma • Hypercoagulable ... -> TEE • Duke Criteria ... than 5 to 7 days after ... diagnosis #management #cardiology