14 results
ASD on Bubble Contrast Echocardiogram (a4c)
A patient with an anterior STEMI (take a look at the
Echocardiogram (a4c ... with an anterior STEMI ... Ivan_Echocardio #atrial ... Echocardiogram #a4c ... #clinical #cardiology
Large atrial septal defect on cardiac POCUS with an oddly satisfying bubble study.

Eric Abrams, MD @eabramsMD

#Bubble
Large atrial septal ... defect on cardiac ... #SeptalDefect #Clinical ... #Cardiology #POCUS ... Echocardiogram #A4C
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Endomyocardial biopsy ... tachycardia • S3, S4 ... gallop • Abnormal ECG ... shock, sudden cardiac ... #Cardiology
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
Myocarditis: 1. ... Manage acute cardiac ... agent, steroids, AC ... Myocarditis #diagnosis #management ... #biopsy
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Effect in Right Atrium ... Differential Diagnosis 1. ... Effect #Right #Atrium ... #clinical #echocardiogram ... #s4c #pocus #bubble
Amyloidosis on POCUS Echocardiogram - Subcostal 4 Chamber (S4C)
Pt with systemic AL amyloidosis presents with 1
Subcostal 4 Chamber (S4C ... presents with 1 ... thickening and biatrial ... #POCUS #clinical ... #S4C
Amyloidosis on POCUS Echocardiogram - Apical 4 Chamber (A4C)
Pt with systemic AL amyloidosis presents with 1
Apical 4 Chamber (A4C ... presents with 1 ... thickening and biatrial ... #POCUS #clinical ... #A4C
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
Early transit of bubbles ... as RAP>LAP as atrial ... PVeins (extra-cardiac ... Echocardiogram #clinical ... #pocus #a4c #intrapulmonary
Rheumatic Heart Disease - Mitral Stenosis on Echocardiogram
(1) Thickened and fibrosed MV leaflets - rheumatic etiology
Echocardiogram (1) ... (4) All 4 cardiac ... (7) patient in atrial ... Echocardiogram #clinical ... #cardiology #a4c
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
exam Determine Cardiac ... Change in clinical ... postoperative cardiac ... CARP, DECREASE V trials ... medical and surgical management