14 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
Evaluation of Electrical Injury in the Emergency Department 

Common Injuries by System:

CNS - Seizure, coma, spinal
Evaluation of Electrical ... voltage Cardiac - Vfib ... immediate, prior to ED arrival ... may be severe and ... #Diagnosis #Management
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
EKG in Acute Pulmonary Embolism
The sensitivity and specificity for EKG findings in acute PE are low.
EKG
The sensitivity and ... is helpful in evaluating ... for other causes ... Arrhythmia* (e.g., A-Fib ... 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
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