7 results
Atrial Fibrillation on POCUS Echocardiogram (A4C)

35yoF presents with acute onset atrial fibrillation.  POCUS shows dilated
Echocardiogram (A4C ... Very clear regurgitant ... jet seen from LV ... #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 ... #Fibrillation #AFib ... #diagnosis #management ... #cardiology
Huge LV thrombus on Echocardiogram

Patient with HF and TIA, in sinus rhythm. Heparin, followed by warfarin,
Huge LV thrombus ... Patient with HF ... after 3 months, serial ... echocardiogram #POCUS #cardiology ... #a4c
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
Cardiac LV Thrombus on Echocardiogram (A4C)
48 year old woman in ICU for acute ischemic limb. PMHx
Cardiac LV Thrombus ... Echocardiogram (A4C ... PMHx recent CHF, ... are not POCUS: serial ... #cardiology
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
exclude other causes ... thrombus, RV systolic ... May have typical HF ... Serial TTE and close ... #cardiology #treatment
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
disease b) CHF ... dysfunction or LV ... one post op Cardiology ... CARP, DECREASE V trials ... medical and surgical management