13 results
Heart Failure with Preserved Ejection Fraction: Management Principles

General Therapeutic Principles:
Reduce the congestive state 
 - Caution
relevant Maintain atrial ... sinus rhythm in atrial ... hypertension, pulmonary ... #Management #Cardiology ... #Treatment #HeartFailure
Atrial Fibrillation Overview

Symptoms:
Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope.

1. Why?
Cardiac:
• Valvular heart disease
•
Atrial Fibrillation ... near-syncope, syncope. 1. ... Noncardiac: • Pulmonary ... Endocrinopathies 2. ... Anticoagulation #Atrial
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
convert - Possible atrial ... flutter, ectopic atrial ... Rhythm: • Probable atrial ... fibrillation or possible atrial ... #algorithm
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Effect in Right Atrium ... Differential Diagnosis 1. ... to right shunt 2. ... Effect #Right #Atrium ... echocardiogram #s4c #pocus #bubble
Wolff-Parkinson-White Syndrome

WPW is a congenital abnormality characterized by an abnormal accessory conduction pathway between the atria
pathway between the atria ... ventricle known as the bundle ... The definitive treatment ... is ablation. 1 ... (Delta wave) 2
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
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
liver disease and pulmonary ... 1. ... Early transit of bubbles ... = PFO 2. ... as RAP>LAP as atrial
Hepatopulmonary Syndrome - Diagnosis and Management Summary
A defect in arterial oxygenation due to a gas exchange
diffusion-perfusion defect (Type 1) ... anatomic shunt (Type 2) ... cycles after right atrial ... cirrhosis • Intra-pulmonary ... ) on room air Treatment
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
on context Rx 1 ... hypertension Rx 2 ... Revascularization, treatment ... #Checklist #CHF ... #Cardiogenic #HeartFailure
Rheumatic Heart Disease - Mitral Stenosis on Echocardiogram
(1) Thickened and fibrosed MV leaflets - rheumatic etiology
Echocardiogram (1) ... (2) Lvef 25-30% ... spontaneous echo contrast ... (7) patient in atrial ... clinically be in CHF