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cardiology diagnosis management atrial differential endocarditis 1: 2 a4c afib chronic clinical doubleshunt echocardiogram infectiousdiseases intrapulmonary narrowcomplex pocus saline sob
Causes of Chronic Dyspnea - Differential Diagnosis Algorithm Pericardial • Effusion • Cardiac Tamponade* • Constriction Myocardial •
Causes of Chronic ... Diagnosis Algorithm ... Arrhythmia • Atrial ... Fibrillation ... Interstitium • ILD • CHF
Atrial Fibrillation Overview Symptoms: Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope. 1. Why? Cardiac: • Valvular heart disease •
Atrial Fibrillation ... light-headedness, dizziness, dyspnea ... Decompensated HF ... Noncardiac: • Pulmonary ... #Algorithm
Treatment of Stable Narrow-Complex Tachycardia Regular Rhythm: • Attempt vagal maneuvers • Give adenosine 6 milligrams IV
disease or CHF) ... Treat underlying cause ... 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 ... light-headedness, dizziness, dyspnea ... Decompensated HF ... Noncardiac: • Pulmonary ... wide-complex tachycardia: bundle
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
Libman Sacks) • Atrial ... Heart Failure • Dyspnea ... Cerebral > Splenic, pulmonary ... Paradoxical emboli via ASD ... Treat underlying cause
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 ... as RAP>LAP as atrial ... stretched PFO or ASD
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 Endocarditis - Overview and Differential Diagnosis Framework Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV
Libman Sacks) • Atrial ... heart failure • Dyspnea ... Cerebral > Splenic, Pulmonary ... Paradoxical emboli via ASD ... Differential #Diagnosis #cardiology
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