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

An elderly patient with dyspnea -
Atrial Septal Defect ... (ASD) with Shunting ... with Contrast (a4c ... Ivan_Echocardio #Atrial ... #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
Echocardiogram (a4c ... Ivan_Echocardio #atrial ... #septal #defect ... clinical #cardiology #pocus ... #shunting
Coronary Artery Embolism - Etiology and Scoring
Etiology:
 • Direct: Clot (LV thrombus, LAA Thrombus), Valve (Vegetation,
Etiology: • Direct ... Fibroelastoma), Mass (Myxoma ... non-culprit vessels • Atrial ... prosthetic valve, PFO, ASD ... Artery #Embolism #diagnosis
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Atrium - Differential ... Small secundum ASD ... #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 ... myxoma • Hypercoagulable ... • Coagulase-negative ... Paradoxical emboli via ASD ... Abscess, destructive penetrating
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Recent PCI/stenting ... • Preoperative coronary ... CARP, DECREASE V trials ... management for select ... stratification #diagnosis
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
Libman Sacks) • Atrial ... myxoma • Hypercoagulable ... aureus, Coagulase-negative ... Paradoxical emboli via ASD ... Abscess, destructive penetrating