41 results
Atrial Fibrillation Overview

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

1. Why?
Cardiac:
• Valvular heart disease
•
Atrial Fibrillation ... Cardiac: • Valvular ... Noncardiac: • Pulmonary ... Anticoagulation ... #Atrial #Fibrillation
Atrial Fibrillation - Diagnosis, Causes, Presentations
Causes (PIRATES):
 - Pulmonary embolism 
 - Ischemia (cardiac) 
 -
Atrial Fibrillation ... - Diagnosis, Causes ... (PIRATES): - Pulmonary ... - Ischemia (cardiac ... Fibrillation #AFib #Diagnosis
Right Heart Cath - Normal Cardiac Pressures

Right Atrial Pressure (RAP) or Central Venous Pressure (CVP)
 •
Cath - Normal Cardiac ... Pressures Right Atrial ... Diastolic) Left Atrial ... Pressure or Pulmonary ... RHC #cardiology #diagnosis
Pulmonary Arterial Catheterization – Use and Interpretation:
-Pulmonary arterial catheterization (PAC) has never been shown to improve
Pulmonary Arterial ... However, when the diagnosis ... output (ie, cardiac ... pressure) -right atrial ... #Diagnosis #PACatheter
Abnormal Jugular Venous Pressure Waveforms - Differential Diagnosis
 - Absent a wave - Atrial fibrillation, sinus
- Differential Diagnosis ... myxoma, pulmonary ... Absent y descent - Cardiac ... #Differential #Diagnosis ... #PhysicalExam #
Atrial Fibrillation (A-Fib) Summary

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

Why?
Cardiac:
	• Valvular heart
Cardiac: • Valvular ... Noncardiac: • Pulmonary ... unknown duration • Anticoagulation ... β-blocker or CCB Anticoagulation ... Fibrillation #AFib #diagnosis
Right Heart Catheterization Cheat Sheet: Interpretation of Pressures and Waveforms 
Direct measurements
 ● Central venous pressure
(PAp) ● Pulmonary ... pressure (PCWP) ● Cardiac ... – CVP]/CO) ● Pulmonary ... PCWP]/CO) ● Cardiac ... Interpretation #Diagnosis
Causes of Palpitations
 • ARRHYTHMiA 
 • SINUS ARRYTHMIA 
 • ATRIAL FIBRILLATION 
 • ATRIAL
ARRYTHMIA • ATRIAL ... FIBRILLATION • ATRIAL ... SYPATHOMIMETICS • CARDIAC ... PHAEOCHROMOCYTOMA • PULMONARY ... #Differential #Diagnosis
Pulmonary Artery Catheter Pressures
Normal: RA 0-8, RV 15-25/0-8, Mean PAP <25, PCWP 8-12, Cardiac Index 2.6-4.2
HFrEF,
Pulmonary Artery ... 25, PCWP 8-12, Cardiac ... decompensated Pulmonary ... Arterial HTN Pulmonic ... Hemodynamics #Cardiology #diagnosis
Causes of Chronic Dyspnea - Differential Diagnosis Algorithm
Pericardial
 • Effusion
 • Cardiac Tamponade*
 • Constriction
Myocardial
 •
- Differential Diagnosis ... • Effusion • Cardiac ... Arrhythmia • Atrial ... Vessels • Pulmonary ... #Differential #Diagnosis