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

An elderly patient with dyspnea -
Atrial Septal Defect ... (ASD) with Shunting ... Ivan_Echocardio #Atrial ... #pocus #bubble # ... Shunting
ASD on Bubble Contrast Echocardiogram (a4c)
A patient with an anterior STEMI (take a look at the
ASD on Bubble Contrast ... Echocardiogram (a4c ... Ivan_Echocardio #atrial ... clinical #cardiology #pocus ... #shunting
Multifocal Atrial Arrhythmias on ECG
Multifocal atrial rhythm & Multifocal atrial tachycardia
ECG Recognition:
 • Variable P wave
Multifocal Atrial ... Arrhythmias on ECG ... Multifocal atrial ... tachycardia ECG ... #ekg #electrocardiogram
Multifocal Atrial Rhythm vs Wandering Atrial Pacemaker
Mutifocal Atrial Rhythm / Multifocal Atrial Tachycardia:
Belong to a group
criteria for the diagnosis ... dominant pacemaker focus ... rhythm, in sharp contrast ... #cardiology #ekg ... #ecg #electrocardiogram
Hypoxemic Respiratory Failure - Differential Diagnosis Framework
DECREASED INSPIRED OXYGEN
 • Low PATM Can decrease first part
- Differential Diagnosis ... High altitude (eg ... Intrapulmonary shunting ... (eg, pulmonary ... (eg, atrial or
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
In AVNRT, the atria ... and ventricles contract ... to JV when RA contracts ... EKG of the same ... are enough to diagnose
Wolff–Parkinson–White syndrome (WPW) is one of several disorders of the electrical system of the heart that
pathway between the atria ... ventricles to contract ... Pathophysiology #Diagnosis ... Cardiology #MedStudent #EKG
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Negative Contrast ... Effect in Right Atrium ... Effect #Right #Atrium ... echocardiogram #s4c ... #pocus #bubble
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Libman Sacks) • Atrial ... Differential Diagnosis ... Endocarditis Diagnosis ... ↑ ESR, CRP • EKG ... Abscess, destructive penetrating
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
indicated • EKG ... Obtain EKG if: ... Recent PCI/stenting ... CARP, DECREASE V trials ... stratification #diagnosis