11 results
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
Negative contrast effect = a washout of the contrast (agitated saline) in the right atrium in
) in the right atrium ... #washout #ASD #atrial ... septal #defect #a4c ... Echocardiogram #clinical #cardiology ... #pocus
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
flutter, ectopic atrial ... Control rate (e.g ... Control rate (e.g ... Tachycardia #Treatment #management ... #cardiology #algorithm
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
SHOCK INITIATIVE ALGORITHM ... Ischemic Symptoms  EKG ... Obtain femoral arterial ... DCSI #Initiative #Management ... #Cardiology
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Negative Contrast ... Effect in Right Atrium ... Differential #Diagnosis #cardiology ... echocardiogram #s4c ... #pocus #bubble
Septal Hypertrophic Cardiomyopathy (HOCM)

52yo worsening exertional sx and murmur. EKG nonspecific, Serial trops (-) 
EM resident
EKG nonspecific, ... Serial trops (- ... thickening and SAM ... echocardiogram #plax #cardiology ... #pocus
Multifocal Atrial Rhythm vs Wandering Atrial Pacemaker
Mutifocal Atrial Rhythm / Multifocal Atrial Tachycardia:
Belong to a group
Multifocal Atrial ... dominant pacemaker focus ... rhythm, in sharp contrast ... wap #diagnosis #cardiology ... #ekg #ecg #electrocardiogram
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
algorithm to determine ... indicated • EKG ... Obtain EKG if: ... one post op Cardiology ... medical and surgical management
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
as RAP>LAP as atrial ... Echocardiogram #clinical #pocus ... #a4c #intrapulmonary ... #cardiology #saline ... #contrast
Cardiac LV Thrombus on Echocardiogram (A4C)
48 year old woman in ICU for acute ischemic limb. PMHx
Echocardiogram (A4C ... What are the next POCUS ... maybe consider contrast ... : serial blood cultures ... #clinical #cardiology