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Hepatopulmonary Syndrome (HPS) demonstrated on Echocardiogram Bubble Study Intra-cardiac shunt: Bubbles appear in LA quickly (within 3 beats) Intra-pulmonary shunt (this video): Bubble appear within 3-6 beats after being noted in the right heart. #HPS #Hepatopulmonary #Syndrome #Echocardiogram #Bubble #Study #clinical #POCUS #cardiology