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cardiology management diagnosis a4c clinical echocardiogram 1: afib cardiomyopathy doubleshunt evaluation intrapulmonary mitral narrowcomplex perioperative peripartum pocus preop preoperative rheumatic
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
Treatment of Stable Narrow-Complex Tachycardia Regular Rhythm: • Attempt vagal maneuvers • Give adenosine 6 milligrams IV
Treatment of Stable ... disease or CHF) ... fibrillation or ... disease or CHF) ... #algorithm
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.
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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 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 ... = PFO 2. ... as RAP>LAP as atrial ... PVeins (extra-cardiac
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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
Peripartum Cardiomyopathy - Summary 1. Definition • Towards the end of pregnancy to 5 months postpartum
other causes* 2. ... cardiomyopathy • Pulmonary ... May have typical HF ... and timing with Cardio-OB ... #treatment
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