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2017 ACC/AHA/HFSA Focused Update of the 2013 ACCF/AHA Guideline for the Management of Heart Failure: A
Guideline for the Management ... American College of Cardiology ... Task Force on Clinical ... #CHF #guideline ... #ACCAHA2017 #cardiology
Atrial Fibrillation Overview

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

1. Why?
Cardiac:
• Valvular heart disease
•
Decompensated HF ... Noncardiac: • Pulmonary ... disease • Drugs ... #Fibrillation #Cardiology ... #Management #Algorithm
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
with caution in pulmonary ... disease or CHF) ... disease or CHF) ... Tachycardia #Treatment #management ... #cardiology #algorithm
Abdominojugular (Hepatojugular) Reflux

Described by Pasteur in 1885 as a physical sign of TR. Still useful for
for diagnosis of CHF ... Hepatojugular #Reflux #PhysicalExam ... #Clinical #Video ... #VolumeStatus #Cardiology
On the left a patient who had a CT to rule out pulmonary embolism.
There is a
CT to rule out pulmonary ... was cardiogenic pulmonary ... #Clinical #Radiology ... SeptalThickening #CHF
Stages in the development of HF and recommended therapy by stage. ACEI indicates angiotensin-converting enzyme inhibitor;
development of HF ... coronary artery disease ... #CHF #Congestive ... ACCAHA #Algorithm #Management ... #Cardiology
Listeriosis Summary - Listeria Monocytogenes
Pathogen: Listeria Monocytogenes - Gram-positive rod, Aerobic, facultative anaerobe, motile, beta-hemolytic, Non-spore-forming
Risk
food, salad bar Clinical ... Pregnancy • CNS ... culture (Invasive disease ... ) • CSF (CNS Infection ... Monocytogenes #diagnosis #management
Multifocal Atrial Tachycardia (MAT)
• At least 3 different P wave morphologies: 
• Rate 100-180
• Irregular 
Etiology
to chronic lung disease ... • Hypoxia • Pulmonary ... hypertension Management ... Tachycardia #MAT #Cardiology ... Diagnosis #ECG #EKG #Management
Listeriosis Summary - Listeria Monocytogenes
Pathogen: Listeria Monocytogenes - Gram-positive rod, Aerobic, facultative anaerobe, motile, beta-hemolytic, Non-spore-forming
Risk
food, salad bar Clinical ... Pregnancy • CNS ... culture (Invasive disease ... ) • CSF (CNS Infection ... Monocytogenes #diagnosis #management
Heart Failure with Preserved Ejection Fraction: Management Principles

General Therapeutic Principles:
Reduce the congestive state 
 - Caution
Ejection Fraction: Management ... - May mimic HF ... hypertension, pulmonary ... ineffective) #Management ... #Cardiology #HFpEF