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Atrial Fibrillation - Diagnosis, Causes, Presentations
Causes (PIRATES):
 - Pulmonary embolism 
 - Ischemia (cardiac) 
 -
Atrial Fibrillation ... (PIRATES): - Pulmonary ... #Fibrillation # ... AFib #Diagnosis ... PIRATES #Emergency #Cardiology
Atrial Fibrillation Overview

Symptoms:
Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope.

1. Why?
Cardiac:
• Valvular heart disease
•
Atrial Fibrillation ... Noncardiac: • Pulmonary ... #Fibrillation # ... Cardiology #Management ... #Algorithm
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
FIBRILLATION ... • ATRIAL FLUTTER ... PHAEOCHROMOCYTOMA • PULMONARY ... DISEASEHYPOXIA ... Differential #Diagnosis #Cardiology
Atrial Fibrillation (A-Fib) Summary

Symptoms:
• Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope.

Why?
Cardiac:
	• Valvular heart
Atrial Fibrillation ... Noncardiac: • Pulmonary ... control with early Afib ... (< 5% pts with afibb ... #management #cardiology
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Treatment of Stable ... disease or CHF) ... fibrillation or ... #management #cardiology ... #algorithm
Palpitations - Differential Diagnosis Framework

What?
• It is an unpleasant awareness or sensation that the heart is
fibrillation/flutter ... Pheochromocytoma • Pulmonary ... brain flow (VT/Vfib ... /Afib/WPW) • Loss ... #Palpitations #Cardiology