17 results
2017 ACC/AHA/HFSA Focused Update of the 2013 ACCF/AHA Guideline for the Management of Heart Failure: A
2017 ACC/AHA/HFSA ... Guideline for the Management ... Task Force on Clinical ... #CHF #guideline ... #ACCAHA2017 #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
Atrial Fibrillation on POCUS Echocardiogram (A4C)

35yoF presents with acute onset atrial fibrillation.  POCUS shows dilated
Atrial Fibrillation ... Echocardiogram (A4C ... Very clear regurgitant ... Echocardiogram #A4C ... #clinical #cardiology
Rheumatic Heart Disease - Mitral Stenosis on Echocardiogram
(1) Thickened and fibrosed MV leaflets - rheumatic etiology
patient in atrial fibrillation ... be in CHF @echocardiography_tips ... Echocardiogram #clinical ... #cardiology #a4c ... #thrombus
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
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
Huge LV thrombus on Echocardiogram

Patient with HF and TIA, in sinus rhythm. Heparin, followed by warfarin,
Huge LV thrombus ... Patient with HF ... #clinical #echocardiogram ... #POCUS #cardiology ... #a4c
Huge mural thrombus occupying 1/3 the LV.
MI effecting [LAD territory]

In PLAX view, The unechoic line between
Huge mural thrombus ... the clot is very clear ... EchoAshwag #Mural #Thrombus ... #clinical #cardiology ... echocardiogram #pocus #a4c
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
Build clinical suspicion ... Fulminant: - Acute HF ... agent, steroids, AC ... Myocarditis #diagnosis #management ... #cardiology #summary
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
joint needs to be clinically ... Finger deformity caused ... fracture • ED Management ... 1 week MH/CCF ... Mallet #Finger #Radiology