10 results
Atrial Septal Defect (ASD) with Shunting on Echocardiogram with Contrast (a4c)

An elderly patient with dyspnea -
Atrial Septal Defect ... Ivan_Echocardio #Atrial ... #Septal #Defect ... #Contrast #a4c ... #clinical #pocus
Negative contrast effect = a washout of the contrast (agitated saline) in the right atrium in
Negative contrast ... ) in the right atrium ... atrial #septal # ... defect #a4c #Echocardiogram ... clinical #cardiology #pocus
ASD on Bubble Contrast Echocardiogram (a4c)
A patient with an anterior STEMI (take a look at the
ASD on Bubble Contrast ... Ivan_Echocardio #atrial ... #septal #defect ... #ASD #Bubble #Contrast ... clinical #cardiology #pocus
Multifocal Atrial Rhythm vs Wandering Atrial Pacemaker
Mutifocal Atrial Rhythm / Multifocal Atrial Tachycardia:
Belong to a group
Multifocal Atrial ... Multifocal Atrial ... dominant pacemaker focus ... rhythm, in sharp contrast ... #cardiology #ekg
Multifocal Atrial Arrhythmias on ECG
Multifocal atrial rhythm & Multifocal atrial tachycardia
ECG Recognition:
 • Variable P wave
Multifocal Atrial ... Multifocal atrial ... atrial tachycardia ... not gradual in contrast ... #atrial #rhythm
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Negative Contrast ... Effect in Right Atrium ... Small secundum ASD ... #Right #Atrium ... #pocus #bubble
EKG Interpretation Cheat Sheet
1) Rate 
 - Regular - Count-Off 
 - Irregular - Count number
origin within the atria ... (e.g. ectopic atrial ... atrial rhythm ... • Saw-Tooth = Atrial ... ST Segment: • Septal
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Libman Sacks) • Atrial ... • Coagulase-negative ... Glomerulonephritis Septic ... ↑ ESR, CRP • EKG ... Abscess, destructive penetrating
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
on this saline contrast ... >LAP as atrial septum ... Echocardiogram #clinical #pocus ... #a4c #intrapulmonary ... cardiology #saline #contrast
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
Libman Sacks) • Atrial ... aureus, Coagulase-negative ... tumor embolism Septic ... ↑ ESR, CRP • EKG ... Abscess, destructive penetrating