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differential management clinical echocardiogram endocarditis pocus 1: afib avr bubble causes coronary criteria doubleshunt ecg ecgeducator effect electrocardiogram embolism fibrillation
Coronary Artery Embolism - Etiology and Scoring Etiology: • Direct: Clot (LV thrombus, LAA Thrombus), Valve (Vegetation,
Fibroelastoma), Mass (Myxoma ... Paradoxical: Right to Left ... non-culprit vessels • Atrial ... #Embolism #diagnosis ... scoring #criteria #cardiology
Typical ECG changes in acute pericarditis includes: stage 1 - diffuse, positive, ST elevations with reciprocal
leads especially left ... leads indicates atrial ... injury. stage 2 ... indefinitely inverted #Diagnosis ... #EM #IM #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 ... #cardiology #clinical
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 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 ... #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 ... stenosis #Causes #diagnosis ... #differential #cardiology
Hepatopulmonary Syndrome - Diagnosis and Management Summary A defect in arterial oxygenation due to a gas exchange
anatomic shunt (Type 2) ... , 88% spec • Contrast-enhanced ... Microbubbles appear in left ... right atrial passage ... gas (ABC) analysis
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
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 Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
Libman Sacks) • Atrial ... myxoma • Hypercoagulable ... ↑ ESR, CRP • EKG ... than 5 to 7 days after ... #management #cardiology
Endocarditis - Overview and Differential Diagnosis Framework Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV
Libman Sacks) • Atrial ... myxoma • Hypercoagulable ... ↑ ESR, CRP • EKG ... than 5 to 7 days after ... #cardiology #infectiousdiseases
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