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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 ... #Cardiology #Management ... #Algorithm
Stages in the development of HF and recommended therapy by stage. ACEI indicates angiotensin-converting enzyme inhibitor;
inhibitor; AF, atrial fibrillation ... hypertension; ICD ... #CHF #Congestive ... Stages #ACCAHA #Algorithm ... #Management #Cardiology
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
disease or CHF) ... Probable atrial fibrillation ... disease or CHF) ... Tachycardia #Treatment #management ... #cardiology #algorithm
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 ... AFib #diagnosis #management ... #cardiology
Congestive heart failure
The findings are:
 - bilateral perihilar consolidation with air bronchograms and ill-defined borders
 -
heart size - subtle ... are dealing with pulmonary ... #Clinical #Radiology ... #CXR #CHF #RadiologyAssistant
Based on the CXR that you just saw, you could have made the diagnosis of congestive
Based on the CXR ... The pulmonary vessels ... indicating increased pulmonary ... #Clinical #Radiology ... #CXR #CHF #InterstitialEdema
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
with presence of pulmonary ... #differential #algorithm ... #management #cardiology ... #heartfailure #chf ... #criticalcare #icu
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
cardiomyopathy • Pulmonary ... May have typical HF ... Avoid ARBs • ICD ... support for patients clinically ... #cardiology #treatment
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 ... Change in clinical ... medical and surgical management
Cryptococcal meningitis on T2 MRI
30 M from sub-Saharan Africa presents w/ progressive Headache x1 mo, +neck
of prior silent pulmonary ... organism (soap bubble ... survival by 25% ↑ ICP ... T2 #MRI #Brain #clinical ... #radiology