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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 ... Noncardiac: • Pulmonary ... Endocrinopathies 2. ... #Fibrillation #Cardiology ... #Management #Algorithm
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 ... QRS interval on EKG ... (Delta wave) 2 ... WolffParkinsonWhite #WPW #Cardiology
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Control rate (e.g ... with caution in pulmonary ... with caution in pulmonary ... Treatment #management #cardiology ... #algorithm
Algorithm for the Evaluation of Regular, Wide-Complex Tachycardia
1. aVR: Is the initial deflection in aVR positive?
Algorithm for the ... yes, then VT. 2. ... Bundle-branch morphology ... #EKG #Electrocardiogram ... #Diagnosis #Cardiology
Pericardial Tamponade
Beck's Triad 
1. Hypotension 
2. Jugular venous distension 
3. Muffled heart sounds 
Patient will be
Tamponade Beck's Triad ... Hypotension 2. ... of dyspnea and chest ... paradoxus - ECG ... #Diagnosis #Cardiology
Adult ACLS - Cardiac Arrest Algorithm - AHA 2020
CPR Quality:
 • Push hard (at least 2
Cardiac Arrest Algorithm ... hard (at least 2 ... , Thrombosis, (pulmonary ... #lifesupport #cardiacarrest ... #Algorithm #AHA2020
Adult Cardiac Arrest - ACLS Circular Algorithm - AHA 2020
CPR Quality:
 • Push hard (at least
ACLS Circular Algorithm ... hard (at least 2 ... , Thrombosis, (pulmonary ... #lifesupport #cardiacarrest ... #Algorithm #AHA2020
Atrial Fibrillation (A-Fib) Summary

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

Why?
Cardiac:
	• Valvular heart
exercise intolerance, chest ... Noncardiac: • Pulmonary ... wide-complex tachycardia: bundle ... cardioversion 2. ... diagnosis #management #cardiology
Atrioventricular (AV) Blocks

First Degree AV Block - "If your R is far from your P than
- Mobitz Type 2 ... a Mobitz Type 2" ... independently of the atria ... heart #heartblock #cardiology ... #ecg #ekg #diagnosis
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Effect in Right Atrium ... Small secundum ASD ... to right shunt 2. ... Differential #Diagnosis #cardiology ... echocardiogram #s4c #pocus #bubble