12 results
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
Atrial flutter ... (3) SVTs - atrial ... (3) Multifocal atrial ... 1 , 3:2, 4:3, etc ... #differential
Giant dilated left atrium on Echocardiogram (a4c)
It belongs to a 92-year old lady with a history
Giant dilated left atrium ... sinus rhythm... 1. ... aneurysm idiopathic. 2. ... dilated #left #atrium ... #a4c #Echocardiogram
Coronary Artery Embolism - Etiology and Scoring
Etiology:
 • Direct: Clot (LV thrombus, LAA Thrombus), Valve (Vegetation,
Fibroelastoma), Mass (Myxoma ... non-culprit vessels • Atrial ... Major + 1 Minor ... Embolism #diagnosis #differential ... scoring #criteria #cardiology
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Effect in Right Atrium ... Diagnosis 1. ... to right shunt 2. ... Effect #Right #Atrium ... #clinical #echocardiogram
Portopulmonary Hypertension
Presence of pulmonary arterial hypertension in a patient with portal hypertension
No other obvious causes (chronic
causes (chronic lung ... thromboembolism) 1) ... Transthoracic echocardiogram ... ventricular size, Right atrial ... ventricular septum 2)
Hepatopulmonary Syndrome - Diagnosis and Management Summary
A defect in arterial oxygenation due to a gas exchange
absence of intrinsic lung ... diffusion-perfusion defect (Type 1) ... anatomic shunt (Type 2) ... cycles after right atrial ... blood gas (ABC)
Rheumatic Heart Disease - Mitral Stenosis on Echocardiogram
(1) Thickened and fibrosed MV leaflets - rheumatic etiology
(1) Thickened ... (2) Lvef 25-30% ... (7) patient in atrial ... #clinical #cardiology ... #a4c #thrombus
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
liver disease and pulmonary ... 1. ... bubbles = PFO 2. ... as RAP>LAP as atrial ... clinical #pocus #a4c
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
murmur 3/6) - Pulmonary ... days before Pulmonary ... one post op Cardiology ... unless prior heart/lung ... CARP, DECREASE V trials
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
verrucous) • Lung ... Libman Sacks) • Atrial ... myxoma • Hypercoagulable ... Cerebral > Splenic, pulmonary ... Marantic (NTBE) Differential