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diagnosis differential management causes fibrillation palpitations tachycardia bronchiectasis chronic dyspnea ecg ekg endocarditis evaluation heartfailure infectiousdiseases mat multifocal narrowcomplex perioperative
Multifocal Atrial Tachycardia (MAT) • At least 3 different P wave morphologies: • Rate 100-180 • Irregular Etiology
to chronic lung disease ... (COPD) • Hypoxia ... • Pulmonary hypertension ... • Oxygen • Treatment ... Tachycardia #MAT #Cardiology
Causes of Palpitations • ARRHYTHMiA • SINUS ARRYTHMIA • ATRIAL FIBRILLATION • ATRIAL
ARRYTHMIA • ATRIAL ... HEART FAILURE • CARDIOMYOPATHY ... PHAEOCHROMOCYTOMA • PULMONARY ... DISEASE • HYPOXIA ... Differential #Diagnosis #Cardiology
Right-Sided Heart Failure - Differential Diagnosis Algorithm Cardiac Causes - Rule out Left-Sided Heart Failure (Most Common):
Differential Diagnosis Algorithm ... • Restrictive Cardiomyopathy ... Arterial Hypertension ... #RHF #RightSided ... #HeartFailure #Cardiology
Treatment of Stable Narrow-Complex Tachycardia Regular Rhythm: • Attempt vagal maneuvers • Give adenosine 6 milligrams IV
Treatment of Stable ... disease or CHF) ... disease or CHF) ... #management #cardiology ... #algorithm
Atrial Fibrillation Overview Symptoms: Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope. 1. Why? Cardiac: • Valvular heart disease •
Atrial Fibrillation ... Decompensated HF ... Noncardiac: • Pulmonary ... #Fibrillation #Cardiology ... #Management #Algorithm
Causes of Chronic Dyspnea - Differential Diagnosis Algorithm Pericardial • Effusion • Cardiac Tamponade* • Constriction Myocardial •
Differential Diagnosis Algorithm ... • Restrictive Cardiomyopathy ... • Sub-Valvular Disease ... Coronary Artery Disease ... Arrhythmia • Atrial
Atrial Fibrillation (A-Fib) Summary Symptoms: • Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope. Why? Cardiac: • Valvular heart
Decompensated HF ... Noncardiac: • Pulmonary ... control with early Afib ... (< 5% pts with afibb ... diagnosis #management #cardiology
Palpitations - Differential Diagnosis Framework What? • It is an unpleasant awareness or sensation that the heart is
Cardiac Causes: • Cardiomyopathy ... • Hypertrophic cardiomyopathy ... Pheochromocytoma • Pulmonary ... /Afib/WPW) • Loss ... #Palpitations #Cardiology
Bronchiectasis - Summary What? • Bronchiectasis is derived from the Greek words bronckos meaning airway and ectasis meaning
Chronic cough • Hypoxia ... Connective tissue diseases ... , in advanced disease ... Laboratory: • ANA, RF ... mycobacteria Treatment
Peripartum Cardiomyopathy - Summary 1. Definition • Towards the end of pregnancy to 5 months postpartum
• Pulmonary embolus ... May have typical HF ... Serial TTE and close ... diagnosis #management #cardiology ... #treatment
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