12 results
Heart Failure with Preserved Ejection Fraction: Management Principles

General Therapeutic Principles:
Reduce the congestive state 
 - Caution
Ejection Fraction: Management ... excessively Control blood ... Central aortic blood ... rhythm in atrial fibrilation ... #Cardiology #HFpEF
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Treat underlying cause ... Probable atrial fibrillation ... Treat underlying cause ... Tachycardia #Treatment #management ... #cardiology #algorithm
STAGES of CHF (A, B, C, D), however, describe the severity of structural abnormalities that impair
STAGES of CHF (A ... system to circulate blood ... flare ups that cause ... #Management #Cardiology ... #CHF #Congestive
Atrial Fibrillation (A-Fib) Summary

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

Why?
Cardiac:
	• Valvular heart
Atrial Fibrillation ... Decompensated HF ... TEE to exclude thrombus ... AFib #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
Rheumatic Heart Disease - Mitral Stenosis on Echocardiogram
(1) Thickened and fibrosed MV leaflets - rheumatic etiology
patient in atrial fibrillation ... clinically be in CHF ... Echocardiogram #clinical #cardiology ... #a4c #thrombus
Cardiac LV Thrombus on Echocardiogram (A4C)
48 year old woman in ICU for acute ischemic limb. PMHx
Echocardiogram (A4C ... PMHx recent CHF, ... POCUS: serial blood ... Echocardiogram #A4C ... #clinical #cardiology
Apical 2-Chamber (A2C) Window on POCUS Echocardiogram

Helpful to distinguish anterior and inferior regional wall motion abnormalities.
associated LV thrombus ... and pooling of blood ... In this case, severely ... visible mural thrombus ... clinical #anatomy #cardiology
Blood Product Transfusions One Pager Summary
Type and screen - determines blood type and detects in recipient
Causes purpura & ... TRALI): Leading cause ... patients with CHF ... RBCs (stored at 4C ... Transfusions #diagnosis #management
Blood Transfusion Reactions

Immune Mediated:
 • Febrile Non-Hemolytic Transfusion Reaction (FNHTR): Most common immune reaction to transfusion.
Causes purpura & ... TRALI): Leading cause ... patients with CHF ... RBCs (stored at 4C ... Transfusion #diagnosis #management