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cardiology clinical diagnosis echocardiogram management a4c atrial pocus 1: afib atrium differential doubleshunt effect evaluation intrapulmonary mitral narrowcomplex negative perioperative
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 ... Noncardiac: • Pulmonary ... Endocrinopathies 2. ... #Algorithm
Treatment of Stable Narrow-Complex Tachycardia Regular Rhythm: • Attempt vagal maneuvers • Give adenosine 6 milligrams IV
with caution in pulmonary ... disease or CHF) ... Probable atrial fibrillation ... disease or CHF) ... #algorithm
Negative Contrast Effect in Right Atrium - Differential Diagnosis 1. Small secundum ASD or PFO with left
Negative Contrast ... Small secundum ASD ... to right shunt 2. ... #Negative #Contrast ... echocardiogram #s4c #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
Decompensated HF ... Noncardiac: • Pulmonary ... wide-complex tachycardia: bundle ... cardioversion 2. ... diagnosis #management #cardiology
Double Shunt on Echocardiogram What do you see on this saline contrast study, in a patient with
on this saline contrast ... liver disease and pulmonary ... Early transit of bubbles ... = PFO 2. ... stretched PFO or ASD
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 Rheumatic Heart Disease - Mitral Stenosis on Echocardiogram (1) Thickened and fibrosed MV leaflets - rheumatic etiology
(2) Lvef 25-30% ... spontaneous echo contrast ... patient in atrial fibrillation ... clinically be in CHF ... Echocardiogram #clinical #cardiology
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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 ... disease b) CHF ... event, follow ACC algorithm ... days before Pulmonary ... one post op Cardiology
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