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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
•
near-syncope, syncope. 1. ... Cardiac: • Valvular ... Noncardiac: • Pulmonary ... #Fibrillation #Cardiology ... #Management #Algorithm
Atrial Fibrillation - Diagnosis, Causes, Presentations
Causes (PIRATES):
 - Pulmonary embolism 
 - Ischemia (cardiac) 
 -
- Diagnosis, Causes ... (PIRATES): - Pulmonary ... - Ischemia (cardiac ... withdrawal ("holiday heart ... PIRATES #Emergency #Cardiology
Right Heart Cath - Normal Cardiac Pressures

Right Atrial Pressure (RAP) or Central Venous Pressure (CVP)
 •
Right Heart Cath ... - Normal Cardiac ... Pressures Right Atrial ... Pressures #RHC #cardiology ... #diagnosis
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
and Workup Algorithm ... Pneumothorax • Pulmonary ... embolism • Cardiac ... troponin; HEART ... #Algorithm #workup
Tetralogy of Falot on Chest X-Ray
Tetralogy of Falot comprises four defects -
1. Ventricular septal defect (VSD)
2.
four defects - 1. ... show the typical boot ... along with concave Pulmonary ... CXR #clinical #radiology ... peds #pediatrics #cardiology
Causes of Palpitations
 • ARRHYTHMiA 
 • SINUS ARRYTHMIA 
 • ATRIAL FIBRILLATION 
 • ATRIAL
FLUTTER • HEART ... SYPATHOMIMETICS • CARDIAC ... PHAEOCHROMOCYTOMA • PULMONARY ... #Differential #Diagnosis ... #Cardiology
Right-Sided Heart Failure - Differential Diagnosis Algorithm
Cardiac Causes - Rule out Left-Sided Heart Failure (Most Common):
Right-Sided Heart ... - Differential Diagnosis ... Algorithm Cardiac ... out Left-Sided Heart ... #HeartFailure #Cardiology
Right Heart Catheterization Cheat Sheet: Interpretation of Pressures and Waveforms 
Direct measurements
 ● Central venous pressure
Right Heart Catheterization ... PCWP]/CO) ● Cardiac ... /m2) (SVI = CI/heart ... Interpretation #Diagnosis ... CheatSheet #Waveforms #Cardiology
Right Heart Catheterization Waveforms and Pressures
Right Atrial Pressure:
 • Mean: 1-5 mm Hg
Right Ventricular Pressure:
 •
Right Heart Catheterization ... Pressures Right Atrial ... • Diastolic: 1- ... normal #wedge #diagnosis ... #cardiology
Pericardial Tamponade
Beck's Triad 
1. Hypotension 
2. Jugular venous distension 
3. Muffled heart sounds 
Patient will be
1. ... Muffled heart sounds ... will show muffled heart ... #Pericardial #Cardiac ... #Diagnosis #Cardiology