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Algorithm for the management of atrial fibrillation with rapid ventricular response

- Dr. Tom Fadial @thame 

#Atrial
Algorithm for the ... management of atrial ... fibrillation with rapid ventricular ... #fibrillation #AFib ... Rapid #Emergency #Cardiology
Causes of Palpitations
 • ARRHYTHMiA 
 • SINUS ARRYTHMIA 
 • ATRIAL FIBRILLATION 
 • ATRIAL
Causes of Palpitations ... • PREMATURE VENTRICULAR ... SYPATHOMIMETICS • CARDIAC ... #Causes #Differential ... #Diagnosis #Cardiology
Anatomical Differential Diagnosis for Arrhythmias
 • SA node: Sinus bradycardia, Sick Sinus Syndrome (SSS)
 • AV
Anatomical Differential ... • Ventricles: Ventricular ... Fibrillation (V-Fib ... Arrhythmias #Anatomical #Differential ... Diagnosis #Causes #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 ... Symptoms: Palpitations ... Cardiac: • Valvular ... #Fibrillation #Cardiology ... #Management #Algorithm
Atrial Fibrillation (A-Fib) Summary

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

Why?
Cardiac:
	• Valvular heart
Symptoms: • Palpitations ... Cardiac: • Valvular ... Irregularly irregular ventricular ... disease, left ventricular ... diagnosis #management #cardiology
Arrhythmias - Differential Diagnosis Algorithm

Bradyarrhythmia (<60 bpm)
 • Sinus Bradycardia
 • Sick Sinus Syndrome
 • SA
Arrhythmias - Differential ... Diagnosis Algorithm ... interval) • AFib ... tachyarrhythmias #Cardiology ... #Differential #
Causes of Tachycardia - Differential Diagnosis Algorithm
Narrow Complex - Regular:
 • Sinus tachycardia
 • Atrial flutter
Tachycardia - Differential ... Diagnosis Algorithm ... #Tachycardia #Differential ... #Diagnosis #Algorithm ... #Causes #cardiology
Syncope - Differential Diagnosis Algorithm
Neurocardiogenic:
 • Vasovagal
 • Orthostatic Hypotension
 • Autonomic Neuropathy
 • Situational (micturition,
Syncope - Differential ... Diagnosis Algorithm ... • AFib/AFlutter ... Syndrome #Syncope #Cardiology ... #Differential #
Palpitations - Differential Diagnosis Framework

What?
• It is an unpleasant awareness or sensation that the heart is
Palpitations - Differential ... supraventricular or ventricular ... tachycardia • Ventricular ... /Afib/WPW) • Loss ... #Cardiology #Differential
Bradycardia - Differential Diagnosis Framework and Management
Narrow Complex Bradycardia:
 • Regular: Sinus Bradycardia, AFib w/ AV
Bradycardia - Differential ... w/ AV Block, Atrial ... SVT WI Wide QRS, Ventricular ... epinephrine 4) Page Cardiology ... Diagnosis #Management #cardiology