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cardiology management a4c clinical echocardiogram heartfailure treatment 1: accaha congestive diagnosis diastolic doubleshunt intrapulmonary mitral narrowcomplex pocus preservedef rheumatic saline
Stages in the development of HF and recommended therapy by stage. ACEI indicates angiotensin-converting enzyme inhibitor;
inhibitor; AF, atrial ... fibrillation; ARB ... heart failure; HFpEF ... #CHF #Congestive ... Stages #ACCAHA #Algorithm
Heart Failure with Preserved Ejection Fraction: Management Principles General Therapeutic Principles: Reduce the congestive state - Caution
relevant Maintain atrial ... sinus rhythm in atrial ... fibrilation may ... hypertension, pulmonary ... #HFpEF #dCHF #Diastolic
Atrial Fibrillation Overview Symptoms: Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope. 1. Why? Cardiac: • Valvular heart disease •
Atrial Fibrillation ... Noncardiac: • Pulmonary ... Endocrinopathies 2. ... Anticoagulation #Atrial ... #Algorithm
Treatment of Stable Narrow-Complex Tachycardia Regular Rhythm: • Attempt vagal maneuvers • Give adenosine 6 milligrams IV
convert - Possible atrial ... flutter, ectopic atrial ... disease or CHF) ... possible atrial ... disease or CHF)
Atrial Fibrillation (A-Fib) Summary Symptoms: • Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope. Why? Cardiac: • Valvular heart
Atrial Fibrillation ... risk factors Atrial ... right and left atria ... identify left atrial ... test for DM Atrial
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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