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cardiology diagnosis management a4c clinical differential echocardiogram 1: accaha afib causes chronic congestive coronary criteria doubleshunt dyspnea embolism evaluation heartfailure
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 ... Noncardiac: • Pulmonary ... Endocrinopathies 2. ... #Algorithm
Causes of Chronic Dyspnea - Differential Diagnosis Algorithm Pericardial • Effusion • Cardiac Tamponade* • Constriction Myocardial •
• Effusion • Cardiac ... Disease Coronary Artery ... Arrhythmia • Atrial ... Fibrillation ... Interstitium • ILD • CHF
Stages in the development of HF and recommended therapy by stage. ACEI indicates angiotensin-converting enzyme inhibitor;
inhibitor; AF, atrial ... fibrillation; ARB ... CAD, coronary artery ... disease; CRT, cardiac ... Stages #ACCAHA #Algorithm
Coronary Artery Embolism - Etiology and Scoring Etiology: • Direct: Clot (LV thrombus, LAA Thrombus), Valve (Vegetation,
Coronary Artery ... Angiography or Cardiac ... non-culprit vessels • Atrial ... Fibrillation ... , h/o of cardiac
Atrial Fibrillation (A-Fib) Summary Symptoms: • Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope. Why? Cardiac: • Valvular heart
Atrial Fibrillation ... Cardiac: • Valvular ... Decompensated HF ... Noncardiac: • Pulmonary ... cardioversion 2.
Double Shunt on Echocardiogram What do you see on this saline contrast study, in a patient with
liver disease and pulmonary ... Early transit of bubbles ... as RAP>LAP as atrial ... , and later (after ... PVeins (extra-cardiac
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 Rheumatic Heart Disease - Mitral Stenosis on Echocardiogram (1) Thickened and fibrosed MV leaflets - rheumatic etiology
(2) Lvef 25-30% ... (4) All 4 cardiac ... (7) patient in atrial ... fibrillation :) ... clinically be in CHF
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 Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
murmur 3/6) - Pulmonary ... exam Determine Cardiac ... disease b) CHF ... event, follow ACC algorithm ... postoperative cardiac
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