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cardiology differential management causes score criteria stroke algorithm atrial bleed chads2vasc clinical comparison duke fibrillation hasbled hematology infective marantic risk
Reduced DOAC Dosing for Atrial Fibrillation #DOAC #Reduced #Dosing #Reduction #Dose #Anticoagulation #Pharmacology #AFib #Renal #CKD
Reduction #Dose #Anticoagulation ... #Pharmacology # ... AFib #Renal #CKD
Non-Infective Endocarditis (NBTE / Marantic Endocarditis) Non-infective endocarditis is also known as: Non-bacterial thrombotic endocarditis (NBTE), Aseptic
valve leaflet • Vegetations ... inflammation at vegetation ... non-infective vegetation ... is required for diagnosis ... NBTE #Marantic #diagnosis
HAS-BLED Score: Estimates risk of major bleeding for patients on anticoagulation to assess risk-benefit in atrial
for patients on anticoagulation ... #Diagnosis #HASBLED ... #Risk #Bleed #Anticoagulation ... #AFib
Stroke and bleeding risk stratification with the CHADS2-VASc and HAS-BLED schemas #Diagnosis #Hematology #CHADS2 #CHADS2VASc #HASBLED #Comparison
HAS-BLED schemas #Diagnosis ... Stroke #Bleed #Anticoagulation ... #AFib
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 Endocarditis checklist Initial evaluation • Peripheral blood cultures (three sets at three different sites) • Additional culture
Endocarditis checklist ... suspect right-sided endocarditis ... cultures • Large vegetation ... repeat echo (to r/o vegetation ... #criticalcare #diagnosis
Differentiating NBTE from Infective Endocarditis No pathognomonic signs/symptoms or echo features that are specific to NBTE, and
specific to NBTE, and diagnosis ... is required for diagnosis ... false-negative results: vegetation ... already embolised, Vegetations ... NBTE #Marantic #diagnosis
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
formation • Other vegetations ... Differential Diagnosis ... Diagnosis? ... cause + Systemic anticoagulation ... -mm left sided vegetations
Endocarditis - Duke Criteria - Major and Minor MAJOR CRITERIA: - Persistently +ve blood culture for
Endocarditis - Duke ... organisms - ECHO: vegetation ... criteria #Endocarditis ... #Major #Minor #Diagnosis
Duke's Criteria for Infective Endocarditis Definite IE - Pathologic Criteria: • Pathologic lesions - vegetation or intracardiac
for Infective Endocarditis ... Pathologic lesions - vegetation ... demonstrating active endocarditis ... histology of a vegetation ... #diagnosis #major
Atrial Fibrillation (A-Fib) Summary Symptoms: • Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope. Why? Cardiac: • Valvular heart
control with early Afib ... (< 5% pts with afibb ... β-blocker or CCB Anticoagulation ... #Fibrillation #AFib ... #diagnosis #management
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