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cardiology diagnosis 1: 2 a4c clinical contrast doubleshunt echocardiogram endocarditis evaluation fibrillation intrapulmonary narrowcomplex perioperative preop preoperative risk saline stable
Atrial Fibrillation (A-Fib) Summary Symptoms: • Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope. Why? Cardiac: • Valvular heart
Noncardiac: • Pulmonary ... wide-complex tachycardia: bundle ... (< 5% pts with afibb ... #diagnosis #management ... #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 ... Tachycardia #Treatment #management ... #cardiology #algorithm
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
Libman Sacks) • Atrial ... Cerebral > Splenic, pulmonary ... ↑ ESR, CRP • EKG ... Endocarditis #diagnosis #management ... #cardiology
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
murmur 3/6) - Pulmonary ... event, follow ACC algorithm ... indicated • EKG ... Obtain EKG if: ... medical and surgical management
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 ... as RAP>LAP as atrial ... stretched PFO or ASD ... Echocardiogram #clinical #pocus
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