14 results
Atrial Fibrillation - Diagnosis, Causes, Presentations
Causes (PIRATES):
 - Pulmonary embolism 
 - Ischemia (cardiac) 
 -
(PIRATES): - Pulmonary ... - Repiratory disease ... myxoma - Thyroid disease ... #Fibrillation #AFib ... PIRATES #Emergency #Cardiology
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
disease or CHF) ... Treat underlying cause ... disease or CHF) ... Tachycardia #Treatment #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
 •
Causes of Chronic ... • Sub-Valvular Disease ... Arrhythmia • Atrial ... Interstitium • ILD • CHF ... #Causes
Right-Sided Heart Failure - Differential Diagnosis Algorithm
Cardiac Causes - Rule out Left-Sided Heart Failure (Most Common):
Differential Diagnosis Algorithm ... Arterial Hypertension ... #RHF #RightSided ... #HeartFailure #Cardiology ... Differential #Diagnosis #Algorithm
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 ... (< 5% pts with afibb ... #diagnosis #management ... #cardiology
PIRATES Mnemonic for the Causes of Atrial Fibrillation

P - Pulmonary Disease, PE
I - Ischemic, Idiopathic
R -
Mnemonic for the Causes ... P - Pulmonary ... Disease, PE I ... #Fibrillation #AFib ... Differential #Diagnosis #Cardiology
Stages in the development of HF and recommended therapy by stage. ACEI indicates angiotensin-converting enzyme inhibitor;
inhibitor; AF, atrial ... coronary artery disease ... #CHF #Congestive ... Stages #ACCAHA #Algorithm ... #Management #Cardiology
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Decompensated CHF ... , Severe Valve Disease ... • Obstructive: Pulmonary ... #algorithm #treatment ... #management
Palpitations - Differential Diagnosis Framework

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