10 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 ... Decompensated HF ... Anticoagulation #Atrial ... #Fibrillation #Cardiology ... #Management #Algorithm
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
caution in pulmonary disease ... or CHF) - Treat ... or CHF) - Treat ... Tachycardia #Treatment #management ... #cardiology #algorithm
Stages in the development of HF and recommended therapy by stage. ACEI indicates angiotensin-converting enzyme inhibitor;
inhibitor; AF, atrial ... coronary artery disease ... #CHF #Congestive ... Stages #ACCAHA #Algorithm ... #Management #Cardiology
Shock - Differential Diagnosis Framework
 - MAP <65. SBP <90, drop in SBP > 40
 -
Decompensated CHF ... , Severe Valve Disease ... • Hypovolemic: Blood ... #criticalcare #algorithm ... #treatment #management
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
INITIATIVE ALGORITHM ... INCLUSION CRITERIA ... maintain systolic blood ... #Initiative #Management ... #Cardiology
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Libman Sacks) • Atrial ... Microbiology: Blood ... -> TEE • Duke Criteria ... Endocarditis #diagnosis #management ... #cardiology
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
Valvular heart disease ... May have typical HF ... Pts: cardiogenic shock ... Serial TTE and close ... #cardiology #treatment
Endocarditis - Diagnosis and Management Summary
What is it? Inflammation of endocardium, typically secondary to infection of
Diagnosis and Management ... /cardiac valve disease ... septic/cardiogenic shock ... ) Major: +Blood ... organisms - MH/CCF
Babesiosis - Diagnosis and Management Summary 
Disease: Release of merozoites from erythrocytes and associated loss of
Diagnosis and Management ... 4%: Vomiting, diarrhea ... , ARDS, shock, CHF ... Diagnosis: • Thin blood ... Babesia #Diagnosis #Management
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
b) CHF c) ... event, follow ACC algorithm ... one post op Cardiology ... CARP, DECREASE V trials ... medical and surgical management