Відео

did they do the saline 2 times i only had it done once i guess it must have been positive the first time?

@@Jerry-zx7rf I actually had 3 lots over 10 minutes. Wasn't a problem

it must have been a negative test? i only got the saline once i feel because it must have been positive@@matthodges5430

1cc (1mL) of air is not hazardous.

I am a student cardiac sonographer and we do agitated saline studies frequently. It is normal throughout the day to produce a small amount of clots in your venous system that eventually gets filtered out by the lungs due to the lungs having fibrinolytic properties (breaks down the clots). Same with very small agitated bubbles of saline, they are harmless when passing through the lungs. However, if you have a shunt, which is an abnormal connection between the left and right side of the heart (Patent ductus arteriosus, patent foramen ovale, ASD, VSD), you're more likely to have those clots pass through the chambers of the heart without going towards the lungs to be filtered out first. When that happens, the clots can end up going towards the upper extremity circulation and cause a stroke/TIA. The discomfort/pain associated with the injection itself is different between patient to patient. Some people have an intense burning sensation at the site of injection, or a dull uncomfortable sensation. However, unlike in the video, we prefer to inject the saline solution fast/forcefully so that the bubbles do not have a chance to break down. Usually if you wait too long, the bubbles will settle and the test will fail, causing you to have to redo the study with another agitated saline injection.

@@isaacyoungkwak I may be misunderstanding you. But i do appreciate the reply. I was just wondering how this test can detect something that happened 2 or 3 weeks before? I had something really strange happen. I was with my mom in her room watching tv and i went to the window. I thought for a second my glasses were messing with my eyes so i took my glasses off and suddenly my eyes were being forced inwards, i could feel them pull crosseyed and i could not see properly, then i started to feel like i was going to black out and i was feeling my way around the side of the bed then just as sudden it stopped. My mom said my eyes were jiggling inwards independent of each other. It scared the heck out of me. Shortly after that i found out also i had a cancer tumor in my lung and needed urgent surgery. But i never did find out anything about the maybe TIA.

@@shecat1964 It's a bit late to answer but maybe this will help you understand. First of all, I'm sorry that happened to you that sounds really scary, hope you're doing ok. This test is not meant to detect whether or not you had a stroke/TIA. What it is meant to detect is a shunt (explained well in the comments above) in your heart. As explained above, having a shunt raises the risk of stroke/TIA. So if someone has a stroke/TIA, and there aren't many risk factors and it's not clear why it happened, testing for a shunt can help explain the cause of the stroke. There are procedures to fix the shunt if discovered and that can prevent future strokes as well. As far as I know there aren't many tests to see if a TIA occurred because per definition, it's a transient ischemic attack, meaning it passes, but CT's and MRI studies can detect signs of a previous stroke. Hope this helps and feel well! - from a nearly graduated med student

i only got the saline once not 2 times would that mean it is a positive test? since they did not do it 2 times ? @@isaacyoungkwak

Thanks for this. Having this done in a few days and was curious what it felt like.

I have to get it done in a few days. How long did the process take? I am really not looking forward to this procedure

@@isabella06790 Once the IV was in, they did two injections of agitated saline. Each agitation/injection took about 15 seconds. There was maybe 30 seconds in between. So not including the IV placement and discontinuation it only took about 60-90 seconds. I obviously felt the pinch of the IV placement, but it was ok once it was in. I couldn’t feel any sensation when they injected the saline other than some slight, momentary coolness in my arm. The only thing that was unsettling was the fact that I was watching the screen and could see the bubbles traveling through my heart. So maybe avoid that if you think it would help. There was a breathing maneuver the ultrasound tech had me do that was like… bearing down as if I was pooping. So that was kinda weird but not painful. I’m sorry you’re feeling apprehensive about the test. Now that I’ve done it, I wouldn’t be nervous about doing it a second time. Hopefully this is encouraging to you!

@@joelcathey thank you so much for the detailed and speedy reply. I have never had any heart testing before. It really helps to hear about the process since the medical professionals aren’t very informative on what happens. I have been having quite a time with health scares lately and it’s just one thing after the other and unexpected. It does provide comfort to hear about what to expect. I will take your advice and not watch the monitor. Thanks so much and I hope everything is working out for the better with your health too.

@@isabella06790 you look pretty young, im sorry you’re dealing with this kinda stuff. I started having autoimmune issues in my late 20’s & 30’s, at only 40 i had a TIA (mini-stroke). Hospital kept me a few day for all sorts of tests, but this “bubbler” was by far the weirdest. Not to say it was the worst though! No pain & MRI was more unpleasant… just weird. I had NO forewarning so it was a little scary (like i always thought bubbles in a syringe kill people?!)… but if you have a chance to prepare & understand how it works (very safely), it can be more interesting than scary? No pain besides inserting the line (needle), which is pretty quick. I couldn’t feel it going through, but i could kinda… hear it? not really audible. but almost like when your stomach is grumbling & u kinda hear-feel it on the inside. Didn’t feel it in my middle/heart, but after i kinda felt “bubbling” up in the back of my neck into my head? Ok that was totally weird, i momentarily panicked like “OMG they’ve shot it in the wrong place!” … lol no, totally normal & fine 🤪 It helps me to be distracted by learning how something works, but if you’re squeamish, ya you might just need to focus on something else. Ive endured a LOT of uncomfortable tests now, & found regularly practicing meditation helped with anxiety (both during & leading up to procedures). Just keep remembering “this is a good thing”… like no its not fun, but it is great to get better answers for better treatment! Women of all ages are more likely to have their symptoms & concerns dismissed til it gets serious, but especially younger patients. I know its all scary & stressful, but if you’ve got a good doctor ordering these types of tests (& insurance coverage) *thats a good thing*!! At least thats what i tell myself as im trying not to panic 🙄🤷‍♀️

You right

She said this would be done under sterile condition but so you can see how it's done

You know it has to be done steril don't complain

I know I'm 10 months too late in my reply, but I hope this helps. If the patient has an obvious unrepaired intracardiac shunt, then there is no need to do a bubble study. That defeats the purpose of the study. In other words, if you look at the heart and see a large hole and the Color Doppler is showing an eccentric jet shooting to the other side, that is proof enough of the hole. This test is usually done when an Echo tech SUSPECTS an ASD/VSD/PFO/PDA and wants evidence of it or wants to definitively rule out the possibility. Also, there is usually not a torrent of bubbles on the other side as is shown; even one or two bubbles in the left heart would indicate a break in the septum.

get cooling blankets or dartolene

I realize Im kinda randomly asking but do anybody know a good website to watch new movies online ?

@Archer Brecken i watch on flixzone. You can find it by googling =)

Is any way scarry.

Just got this done, it feels SUPER weird..