25 results
Atrial Fibrillation on POCUS Echocardiogram (A4C)

35yoF presents with acute onset atrial fibrillation.  POCUS shows dilated
Echocardiogram (A4C ... presents with acute ... Very clear regurgitant ... #Fibrillation #AFib ... #clinical #cardiology
Atrial Fibrillation (A-Fib) Summary

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

Why?
Cardiac:
	• Valvular heart
Decompensated HF ... thrombus • Digoxin ... TEE to exclude thrombus ... #diagnosis #management ... #cardiology
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
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
Atrial Fibrillation RVR - Medications
Diltiazem
 • Preferred in patients with chronic lung such as Asthma and
Atrial Fibrillation ... exercise, after acute ... decompensated CHF ... anyway to improve CHF ... #management #treatment
Coronary Artery Embolism - Etiology and Scoring
Etiology:
 • Direct: Clot (LV thrombus, LAA Thrombus), Valve (Vegetation,
Embolism - Etiology and ... - Most Common Cause ... attributable to acute ... non-culprit vessels • Atrial ... scoring #criteria #cardiology
Acute Coronary Syndrome (ACS) Definitions - Stable Angina, Unstable Angina, NSTEMI, STEMI
1 STABLE ANGINA - Angina
Acute Coronary Syndrome ... a thrombus forms ... thrombus formation ... causes partial ... #Diagnosis #Cardiology
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
EKG in Acute Pulmonary Embolism
The sensitivity and specificity for EKG findings in acute PE are low.
EKG
EKG in Acute Pulmonary ... The sensitivity and ... EKG findings in acute ... evaluating for other causes ... AcutePE #diagnosis #cardiology
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