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cardiology diagnosis clinical contrast echocardiogram fibrillation pocus 1: afib differential doubleshunt effect evaluation intrapulmonary negative perioperative preop preoperative ra right
Atrial Fibrillation Overview Symptoms: Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope. 1. Why? Cardiac: • Valvular heart disease •
Atrial Fibrillation ... Decompensated HF ... Endocrinopathies 2. ... Anticoagulation #Atrial ... #Management #Algorithm
Negative Contrast Effect in Right Atrium - Differential Diagnosis 1. Small secundum ASD or PFO with left
Effect in Right Atrium ... Small secundum ASD ... to right shunt 2. ... Effect #Right #Atrium ... #pocus #bubble
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 Atrial Fibrillation (A-Fib) Summary Symptoms: • Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope. Why? Cardiac: • Valvular heart
Atrial Fibrillation ... risk factors Atrial ... right and left atria ... identify left atrial ... test for DM Atrial
Double Shunt on Echocardiogram What do you see on this saline contrast study, in a patient with
Early transit of bubbles ... = PFO 2. ... as RAP>LAP as atrial ... stretched PFO or ASD ... clinical #pocus #a4c
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 Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
disease b) CHF ... algorithm to determine ... one post op Cardiology ... CARP, DECREASE V trials ... medical and surgical management
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