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cardiology clinical echocardiogram management a4c atrial diagnosis pocus 1: differential doubleshunt effect intrapulmonary mitral narrowcomplex negative ra rheumatic right s4c
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
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 ... Noncardiac: • Pulmonary ... cardioversion 2. ... #management #cardiology
Treatment of Stable Narrow-Complex Tachycardia Regular Rhythm: • Attempt vagal maneuvers • Give adenosine 6 milligrams IV
with caution in pulmonary ... disease or CHF) ... fibrillation or ... disease or CHF) ... #algorithm
Negative Contrast Effect in Right Atrium - Differential Diagnosis 1. Small secundum ASD or PFO with left
Negative Contrast ... Effect in Right Atrium ... Small secundum ASD ... to right shunt 2. ... echocardiogram #s4c #pocus #bubble
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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 ... (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 ... stretched PFO or ASD
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