10 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 ... (< 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
pulmonary disease or CHF ... 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 ... patients with LV ... decompensated CHF ... #AFib #RVR #Medications ... #management #treatment
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,
Huge LV thrombus ... Patient with HF ... after 3 months, serial ... echocardiogram #POCUS #cardiology ... #a4c
Restrictive Cardiomyopathy on Echocardiogram - Apical 4 Chamber View

RCM is a disease of diastole —> severe
Though this case ... is late RCM as ... LV dysfunction present ... echocardiogram #cardiology ... #a4c
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