11 results
Atrial Fibrillation (A-Fib) Summary

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

Why?
Cardiac:
	• Valvular heart
Decompensated HF ... (< 5% pts with afibb ... thrombus • Digoxin ... #diagnosis #management ... #cardiology
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
- Observe and ... Treat underlying cause ... Treat underlying cause ... Tachycardia #Treatment #management ... #cardiology #algorithm
Acute Atrial Fibrillation - Initial Options for Rate Control
Diltiazem IV
 •  Rapid onset and rapidly
Acute Atrial Fibrillation ... regimen is not as clear ... IV bolus can cause ... #pharmacology #management ... #cardiology #AFib
Huge LV thrombus on Echocardiogram

Patient with HF and TIA, in sinus rhythm. Heparin, followed by warfarin,
Patient with HF ... and TIA, in sinus ... after 3 months, serial ... echocardiogram #POCUS #cardiology ... #a4c
TOPCAT - Spironolactone for Heart Failure with Preserved Ejection Fraction

N Engl J Med 2014; 370:1383-1392 https://www.nejm.org/doi/10.1056/NEJMoa1313731

CONCLUSIONS:
heart failure and ... cardiovascular causes ... hospitalization for the management ... #Cardiology #EBM ... VisualAbstract #Trial
Rheumatic Heart Disease - Mitral Stenosis on Echocardiogram
(1) Thickened and fibrosed MV leaflets - rheumatic etiology
(1) Thickened and ... (7) patient in atrial ... clinically be in CHF ... Echocardiogram #clinical #cardiology ... #a4c #thrombus
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
Finger deformity caused ... Hyperflexion injury with axial ... 1 week MH/CCF ... Mallet #Finger #Radiology ... #Hand #Orthopedics
Cardiac LV Thrombus on Echocardiogram (A4C)
48 year old woman in ICU for acute ischemic limb. PMHx
Echocardiogram (A4C ... PMHx recent CHF, ... are not POCUS: serial ... Echocardiogram #A4C ... #clinical #cardiology
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
exclude other causes ... LVEDd > 6.0 cm, LV thrombus ... May have typical HF ... Serial TTE and close ... #cardiology #treatment
Hyperkalemia - Diagnosis and Management - GrepMed Handbook

S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
Management - GrepMed ... - ↓ Effective arterial ... Na delivery): CHF ... test (only if no clear ... cause) Management