9 results
Right Atrial Thrombus on Echocardiogram (S4C)

Yet another right heart thrombus

Ivan Stankovic, MD, PhD @Ivan_Echocardio

#Right #Atrial #Thrombus
Right Atrial Thrombus ... Echocardiogram (S4C ... #Atrial #Thrombus ... #POCUS #clinical ... #cardiology
Atrial Fibrillation (A-Fib) Summary

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

Why?
Cardiac:
	• Valvular heart
the size of the right ... thrombus • Digoxin ... TEE to exclude thrombus ... AFib #diagnosis #management ... #cardiology
Chronic Thromboembolic Pulmonary Hypertension (CTEPH) and Pulmonary Thromboendarterectomy
Chronic Thromboembolic Pulmonary Hypertension
Definition: mean pulmonary-artery pressure > 25mmHg
Plexiform-lesion formation Clinical ... Pulmonary Vessels Thrombi ... Pulmonary Vessels Thrombi ... Rarely performed Anticoagulation ... Thromboendarterectomy #diagnosis #management
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Atrium - Differential ... #Atrium #RA #Differential ... #Diagnosis #cardiology ... #clinical #echocardiogram ... #s4c #pocus #bubble
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
Differential Diagnosis ... LVEDd > 6.0 cm, LV thrombus ... suggest prophylactic anticoagulation ... support for patients clinically ... Serial TTE and close
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Libman Sacks) • Atrial ... Marantic (NTBE) Differential ... cause + Systemic anticoagulation ... • Left sided > Right ... Endocarditis #diagnosis #management
Anticoagulant Therapy after PCI (patients with AFib)
Dual-Therapy Preferred:
 • Triple therapy = increased bleeding
Therapy after PCI ... all patients in clinical ... trials - Either ... Triple #therapy #anticoagulation ... #management #cardiology
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Change in clinical ... Anticoagulation ... one post op Cardiology ... CARP, DECREASE V trials ... medical and surgical management
Immune Reconstitution Inflammatory Syndrome - Overview of IRIS

What Is IRIS?
	• A state of hyperinflammatory response that
noncompliance • Clinical ... initiation Clinical ... Leishmaniasis Differential ... therapy (COAT TRIAL ... #Diagnosis #Management