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Left Ventricular Apical Cystic Thrombus...

maged al ali

TTE apical 5 chamber view shows cystic thrombus at the apex of the left ventricle. Video by Maged Al Ali MD.

views: 2471 comments: 0

Left Ventricular Apical Cystic Thrombus...

maged al ali

TTE apical 4 chamber view shows cystic thrombus at the apex of the left ventricle. Video by Maged Al Ali MD.

views: 2341 comments: 0

Congestive Heart Failure Explained via 3D...

Scientific Animations

CHF or Congestive Heart Failure, a condition on continuos rise explained - Are lifestyle changes responsible for increase in cases of CHF? What are the main causes? Economic impact on health system?...

views: 1767 comments: 0

Mitral Stenosis In Different Aspects: Mitral...

maged al ali

TEE shows mitral stenosis and mitral apparatus study. Video by Maged Al Ali MD.

views: 2480 comments: 0

Left Ventricular - Right Atrial Communication...

maged al ali

A Gerbode -type defect is a ventricular septal defect communicating directly between the left ventricle and right atrium. It is usually congenital, but rarely is acquired, as a complication of endocarditis....

views: 2232 comments: 0

ECG Case: STEMI in a Young Patient

Amal Mattu

Watch this video to see the changes in serial ECGs of a young patient with chest pain and the final diagnosis of a MI. Remember: lead aVL can show early reciprocal changes from an inferior MI before...

views: 1639 comments: 1

ECG Case: Narrow Complex Regular Tachycardia

Amal Mattu

Watch the video to learn how to make a differential of narrow complex regular tachycardia.

views: 1109 comments: 0

ECG Case: Trifascicular Block

Amal Mattu

What are the conduction abnormalities here? The patient has trifascicular block. It consists of 1st degree AV Block + RBBB + LAH (or LPH, which is less often) Don't miss the ischemic changes in this...

views: 3343 comments: 0

ECG Case: Atrial Septal Defect

Amal Mattu

ECG findings of atrial septal defects: -1st degree AV Blocks -Atrial Dysrhythmias -Incomplete RBBB -Signs of right atrial enlargement -Notching of the S-waves in the inferior leads (“Crochetage”...

views: 3704 comments: 0

Atrial Septal Aneurysm With Multiple Atrial...

maged al ali

TTE apical and subcostal views with color doppler recording in a baby show muscular ventricular septal defect, atrial septal aneurysm and multiple shunt flows on the borders of the aneurysm. Video by...

views: 2936 comments: 0

Atrioventricular Canal With Small Ostium...

maged al ali

TTE apical and subcostal views show an intermediate form of atrioventricular canal: ostium primum atrial septal defect, ventricular septal defect ,two atrioventricular orifices, with small ostium secundum...

views: 2353 comments: 0

ECG Case: STEMI vs Pericarditis

Amal Mattu

Watch this video to learn how to distinguish between those two diagnosis

views: 3585 comments: 1

ECG Case: Atrial Flutter

Amal Mattu

Consider AFl when ventricular rate is around 150 (plus or minus 20) Look for P-waves in lead V1 to make the right diagnosis

views: 3183 comments: 0

Atrial Septal Defect With Chiari Network...

maged al ali

TTE subcostal view shows atrial septal defect and Chiari network. Video by Maged Al Ali MD.

views: 3075 comments: 0

Atrial Septal Defect With Chiari Network...

maged al ali

TTE modified apical view shows atrial septal defect and Chiari network. Video by Maged Al Ali MD.

views: 2443 comments: 0

Multiple Rhabdomyomas (2)

maged al ali

TTE short axis view shows rhabdomyomas in a 3 months old girl with tuberous sclerosis. There are multiple locations of the tumor: LV, LVOT (causing subaortic stenosis) and RV and RVOT. Video by Maged...

views: 2189 comments: 0

Multiple Rhabdomyomas

maged al ali

TTE four chamber view shows rhabdomyomas in a 3 months old girl with tuberous sclerosis. There are multiple locations of the tumor: LV, LVOT (causing subaortic stenosis) and RV and RVOT. Video by Maged...

views: 2430 comments: 0

3D Medical Animation - Deployment of Artificial...

Scientific Animations

This 3D medical animation illustrates the process of deploying an artificial heart valve using an angiographic catheter. For more information and 3D medical animations visit us at www.scientificanimations.com.

views: 1556 comments: 0

ECG Case: Hypertrophic cardiomyopathy

Amal Mattu

A case of a patient with hypertrophic cardiomyopathy. ECG abnormalities: -high left ventricle voltage -left atrial enlargement -tall R wave in V1 -deep narrow Q waves in inferior, lateral...

views: 2721 comments: 0

ECG Case: Polymorphic Ventricular Tachycardia

Amal Mattu

Watch the video to see what do you have to look for in an ECG of a patient with syncope. Find out why this young patient lost his consciousness. How to treat polymorphic VT?

views: 2313 comments: 0

ECG Case: CNS disease

Amal Mattu

ECG findings in patients with elevated intracranial pressure: Diffuse T-wave enlargement and inversions Brady- and tachydysrhythmias Non-specific ST changes ST changes mimicking ischemia

views: 2721 comments: 1

ECG Case: Regular Wide Complex Tachycardia

Amal Mattu

Your first thought is VT? Look how wide are those QRS complexes. In case of such wide complexes you should first think of toxicologic and metabolic causes (hyperkalemia & severe acidosis)

views: 902 comments: 0

ECG Case: MI in Paced Rhythm

Amal Mattu

It possible to diagnose MI in paced rhythms, you just need to use Sgarbossa’s criteria: 1. STE ≥ 1mm concordant with QRS deflection in any single lead 2. STD ≥ 1mm in V1, V2, OR V3 that is concordant....

views: 2842 comments: 0

ECG Case: Pulmonary Embolism

Amal Mattu

ECG findings in Pulmonary Embolism: -Sinus Tachycardia (only 30-50%) -SIQIII or SIQIIITIII , a.k.a. Rightward Axis (not sensitive or specific) -New RBBB or incomplete RBBB -Superventricular...

views: 2708 comments: 1

ECG Case: Wide Complex Tachycardia

Amal Mattu

Differential for regular wide complex tachycardia Ventricular Tachycardia!!!!! - this should be always your first suspicion SVT, atrial flutter or sinur tachycardia with aberrant conduction Look...

views: 2294 comments: 0

ECG Case: WPW Syndrome

Amal Mattu

WPW triad Short PR interval Widened QRS (>120ms) Delta wave (but: not always present!)​

views: 4143 comments: 0

ECG Case: Deformed T-waves

Amal Mattu

Always look for P-waves. They might be buried in T-waves or QRS complexes. Their presence and correlation with QRS complexes is important in differential diagnosis of brady- and tachyarythmias.

views: 2243 comments: 0

ECG Case: Complete Heart Block

Amal Mattu

Look carefully for the P-waves or you will miss the proper diagnosis! Little blimbs that you see in lead II are regular - those are the P waves. There is no relation between them and QRS complexes which...

views: 2358 comments: 0

Coronary Artery To Left Ventricle Fistula...

maged al ali

TTE parasternal long axis view with color doppler shows diastolic flow from the septum to the left ventricle. Video by Maged Al Ali MD.

views: 1840 comments: 0

Coronary Artery To Left Ventricle Fistula...

maged al ali

TTE parasternal short axis view with color doppler shows diastolic flow from the septum to the left ventricle. Video by Maged Al Ali MD.

views: 1739 comments: 0

Coronary Artery To Left Ventricle Fistula...

maged al ali

TTE modified four chamber view with color doppler shows diastolic flow from the septum to the left ventricle. Video by Maged Al Ali MD.

views: 1358 comments: 0

Coronary Artery To Left Ventricle Fistula...

maged al ali

TTE color M-mode shows diastolic flow from the septum to the left ventricle. Video by Maged Al Ali MD.

views: 1487 comments: 0

Mitral Stenosis In Different Aspects: Left...

maged al ali

TEE shows left atrial spontaneous contrast and a left atrial appendage thrombus in a case of mitral stenosis in atrial fibrillation. Video by Maged Al Ali MD.

views: 2386 comments: 0

Mitral Stenosis In Different Aspects: LA...

maged al ali

TEE shows spontaneous contrast in the left atrium and the left atrial appendage in a case of mitral stenosis in atrial fibrillation. Video by Maged Al Ali MD

views: 1822 comments: 0

ECG Case: STEMI vs. Benign early repolarization...

Amal Mattu

Differential diagnosis for diffuse STE Large STEMI Pericarditis Early repolarization Ventricular aneurysm LBBB LVH Brugada syndrome Hyperkalemia To make a good diagnosis check:...

views: 5177 comments: 0

ECG Case: Inferior STEMI. What is the rhythm?

Amal Mattu

What we see in this ECG is a ST segment elevation in inferior leads which means inferior MI. In those patients always consider right ventricular and posterior MI. The computer called this sinus bradycardia....

views: 3278 comments: 0

Tumor-like Calcification Of The Mitral Annulus

maged al ali

Various echocardiographic views show tumor-resembling calcifications of the mitral annulus. Video by Maged Al Ali MD.

views: 2287 comments: 0

Left Ventricular Noncompaction

maged al ali

Left ventricular noncompaction or "spongy myocardium" is a rare congenital cardiomyopathy that can be diagnosed at any age. It is characterised by a thin, compacted epicardial layer and an extensive...

views: 3688 comments: 0

ECG Case: A normal variant - not Wellens...

Amal Mattu

There is a normal variant pattern, seen in young males, mostly African-Americans Look for fishhooked J-points, concave upward STE before a steep T-wave drop

views: 1119 comments: 0

ECG Case: Wellens Syndrome

Amal Mattu

T-wave abnormality in precordial leads (most specific in V2-V3, but can be also present in V4) -Type 1-deeply symmetric T-wave inversion -Type 2- biphasic T waves with terminal T-wave inversion...

views: 3697 comments: 0

Atrial Septal Aneurysm With Chaotic Movement...

maged al ali

Echocardiographic subcostal view shows atrial septal aneurysm and chaotic movement of the interatrial septum in a baby. Video by Maged Al Ali MD.

views: 1735 comments: 0

Atrial Septal Aneurysm With Chaotic Movement...

maged al ali

Echocardiographic apical four-chamber view shows atrial septal aneurysm with chaotic movement of the interatrial septum in a baby. Video by Maged Al Ali MD.

views: 2418 comments: 0

Sub Aortic VSD (2)

Narendra Chaudhari

Same case sort axis view at aortic level defect at 9 oclock position.

views: 1748 comments: 0

Sub Aortic VSD (1)

Narendra Chaudhari

21 year old lady c/o recurrent rti no complaints, loud systolic murmur at 3 rd intercostal space ekg -right axis deviation and rvh no other positive finding echo shows sub aortic vsd with 50 % over ridding...

views: 1908 comments: 0

ECG Case: Evolving T-wave changes

Amal Mattu

If you have concerns of an ECG - get serial ECGs! T-wave changes can predict cardiac ischemia Wellens syndrome - Biphasic T-wave pattern in precordial leads can be specific for proximal LAD lesions

views: 2753 comments: 0

ECG Case: Brugada Syndrome

Amal Mattu

ECG Findings in V1-V3 -RBBB or Incomplete RBBB -Coved or Saddle type ST-segment elevation It is important not to miss this condition. Patients with Brugada syndrome can develope fast polymorphic...

views: 3063 comments: 0

ECG Case: The diagnosis of MI in LBBB &...

Amal Mattu

Sgarbossa’s criteria is used to diagnose MI in the setting of LBBB or paced rhythms. 1. STE ≥ 1mm concordant with QRS in any lead 2. STD ≥ 1mm in V1, V2, or V3 that is concordant. 3. Discordant STE...

views: 2966 comments: 1

Multiple Rhabdomyomas In Patient With Tuberous...

maged al ali

Echocardiographic parasternal long axis view shows rhabdomyomas in a 3 month-old girl with tuberous sclerosis. There are multiple locations of the tumors: left ventricle, left ventricular outflow tract...

views: 1397 comments: 0

ECG Case: Irregular Narrow-Complex Tachycardia

Amal Mattu

Differential diagnosis for Irregular Narrow-Complex Tachycardia -Atrial Fibrillation No clear atrial activity -Atrial flutter with variable conduction Regular atrial activity around...

views: 1922 comments: 0

ECG Case: Is it really Atrial Fibrillation?

Amal Mattu

If the rythm is regularly irregular it is not AF! Look for P-waves! What can it be? -Premature Atrial Complexes (groups of 2 -> atrial bigeminy, groups of 3 -> atrial trigeminy) -2nd Degree...

views: 3055 comments: 0