10 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
Large atrial septal defect on cardiac POCUS with an oddly satisfying bubble study.

Eric Abrams, MD @eabramsMD

#Bubble
Large atrial septal ... defect on cardiac POCUS ... #Study #ASD #Atrial ... SeptalDefect #Clinical #Cardiology ... #A4C #Large
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
convert - Possible atrial ... flutter, ectopic atrial ... Rhythm: • Probable atrial ... fibrillation or possible atrial ... #cardiology #algorithm
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Effect in Right Atrium ... Effect #Right #Atrium ... #Diagnosis #cardiology ... echocardiogram #s4c ... #pocus #bubble
Cardiac Valve Replacement - Anticoagulation INR Targets and Antiplatelet by Valve Type

Bioprosthetic valves require at least
Bioprosthetic valves ... bioprosthetic valves ... patients with chronic atrial ... in Prosthetic Valves ... #Management #Cardiology
Tachycardia - Differential Diagnosis and Management - Narrow vs Wide, Regular vs Irregular
Narrow - Regular:
Use P
Tachycardia - Differential ... Diagnosis and Management ... • Atrial Flutter ... #cardiology #wide ... #narrow #algorithm
Premature Ventricular Complexes (PVC's) - Summary Framework

Why PVCs?  Can be the first manifestation of cardiac
Hypokalemia • Bundle ... capture of the atria ... may not occur Differential ... arrhythmia • Atrial ... #cardiology
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 ... Echocardiogram #clinical #pocus ... #a4c #intrapulmonary ... #cardiology #saline
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Libman Sacks) • Atrial ... Marantic (NTBE) Differential ... ↑ ESR, CRP • EKG ... Endocarditis #diagnosis #management ... #cardiology
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
algorithm to determine ... Obtain EKG if: ... one post op Cardiology ... CARP, DECREASE V trials ... medical and surgical management