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cardiology differential causes heartfailure management abnormalities afib atrial disorders evaluation fibrillation hfref leftsided maneuvers murmurs palpitations perioperative pharmacology physicalexam preop
CHF - Left-Sided Heart Failure - Differential Diagnosis Algorithm Valvular Disease (Preserved Diastolic/Systolic Function) • Mitral Stenosis
CHF - Left-Sided ... Heart Failure - ... • Aortic Stenosis ... • Aortic Regurgitation ... • Aortic Regurgitation
Pulse Abnormalities - Differential Diagnosis Algorithm Unequal/DeIayed: • Obstructive arterial disease (ie. Atherosclerosis) • Aortic dissection •
Algorithm Unequal ... beats: • Left heart ... pressure >10mmHg: • Cardiac ... Stenosis: • Anacrotic ... regurgitation
Cardiac Murmurs and Maneuvers An algorithm demonstrating the effect of various maneuvers on systolic murmurs. TR, tricuspid
Cardiac Murmurs ... Maneuvers An algorithm ... ; AS, aortic stenosis ... Murmurs #Maneuvers #Heart ... #Diagnosis
Right-Sided Heart Failure - Differential Diagnosis Algorithm Cardiac Causes - Rule out Left-Sided Heart Failure (Most Common):
Right-Sided Heart ... Algorithm Cardiac ... out Left-Sided Heart ... • Pulmonary Stenosis ... • Tricuspid Regurgitation
Heart failure with Reduced Ejection Fraction (HFrEF) Clinical Presentation 1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
pressure (pulse ... murmur of valvular regurgitation ... or stenosis, weight ... Chest x-ray: signs ... Consider cardiac
Palpitations - Differential Diagnosis Framework What? • It is an unpleasant awareness or sensation that the heart is
flip-flopping in the chest ... disease (e.g., aortic ... insufficiency, stenosis ... • Severe aortic ... regurgitation
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
disease b) CHF ... event, follow ACC algorithm ... Severe Aortic stenosis ... change CV risk Chest ... stratification #diagnosis
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 ... Cardiac: • Valvular ... with afibb) • Pulse ... severe mitral stenosis ... Fibrillation #AFib #diagnosis
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