20 results
Atrial Fibrillation Overview

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

1. Why?
Cardiac:
• Valvular heart disease
•
Atrial Fibrillation ... Cardiac: • Valvular ... Decompensated HF ... Anticoagulation #Atrial #Fibrillation ... #Cardiology #Management
Stages in the development of HF and recommended therapy by stage. ACEI indicates angiotensin-converting enzyme inhibitor;
inhibitor; AF, atrial fibrillation ... disease; CRT, cardiac ... #CHF #Congestive ... ACCAHA #Algorithm #Management ... #Cardiology
Coronary Artery Embolism - Etiology and Scoring
Etiology:
 • Direct: Clot (LV thrombus, LAA Thrombus), Valve (Vegetation,
Angiography or Cardiac ... - Most Common Cause ... vessels • Atrial Fibrillation ... PFO, ASD, h/o of cardiac ... scoring #criteria #cardiology
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 ... flare ups that cause ... Treatments may include: cardiac ... #Management #Cardiology ... #CHF #Congestive
Rheumatic Heart Disease - Mitral Stenosis on Echocardiogram
(1) Thickened and fibrosed MV leaflets - rheumatic etiology
(4) All 4 cardiac ... patient in atrial fibrillation ... clinically be in CHF ... Echocardiogram #clinical #cardiology ... #a4c #thrombus
Atrial Fibrillation (A-Fib) Summary

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

Why?
Cardiac:
	• Valvular heart
Cardiac: • Valvular ... Decompensated HF ... TEE to exclude thrombus ... AFib #diagnosis #management ... #cardiology
Cardiac Valve Replacement - Anticoagulation INR Targets and Antiplatelet by Valve Type

Bioprosthetic valves require at least
Cardiac Valve Replacement ... monotherapy (2017 AHA/ACC ... chronic atrial fibrillation ... valve (2017 AHA/ACC ... #Management #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:
cardiovascular causes ... , aborted cardiac ... hospitalization for the management ... Spironolactone #HFpEF #dCHF ... #Cardiology #EBM
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