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diagnosis differential management causes abnormal afib atrial complexes dchf diastolic endocrinology heartfailure hfpef hyperthyroidism jugular jvp narrowcomplex physicalexam premature preservedef
Causes of Palpitations • ARRHYTHMiA • SINUS ARRYTHMIA • ATRIAL FIBRILLATION • ATRIAL
Causes of Palpitations ... ARRYTHMIA • ATRIAL FIBRILLATION ... • VENTRICULAR ... PHAEOCHROMOCYTOMA • PULMONARY ... Differential #Diagnosis #Cardiology
Treatment of Stable Narrow-Complex Tachycardia Regular Rhythm: • Attempt vagal maneuvers • Give adenosine 6 milligrams IV
Treatment of Stable ... with caution in pulmonary ... Probable atrial fibrillation ... #Treatment #management ... #cardiology #algorithm
Treatment of Stable Wide-Complex Tachycardia Regular • If ventricular tachycardia or uncertain rhythm: -
Treatment of Stable ... Regular • If ventricular ... If polymorphic ventricular ... #Treatment #management ... #cardiology #algorithm
Abnormal Jugular Venous Pressure Waveforms - Differential Diagnosis - Absent a wave - Atrial fibrillation, sinus
wave - Atrial fibrillation ... atrial myxoma, pulmonary ... dissociation, ventricular ... waves - Large cv ... #PhysicalExam #cardiology
Palpitations - Differential Diagnosis Framework What? • It is an unpleasant awareness or sensation that the heart is
Arrhythmias: • Atrial fibrillation ... supraventricular or ventricular ... • Ventricular ... Pheochromocytoma • Pulmonary ... #Cardiology #Differential
Premature Ventricular Complexes (PVC's) - Summary Framework Why PVCs? Can be the first manifestation of cardiac
the heartbeat • Palpitations ... tachycardia • ... arrhythmia • Atrial fibrillation ... more intensive treatment ... #differential #cardiology
Heart Failure with Preserved Ejection Fraction: Management Principles General Therapeutic Principles: Reduce the congestive state - Caution
the congestive state ... rhythm in atrial fibrilation ... hypertension, pulmonary ... #Management #Cardiology ... dCHF #Diastolic #Treatment
Atrial Fibrillation (A-Fib) Summary Symptoms: • Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope. Why? Cardiac: • Valvular heart
Atrial Fibrillation ... Symptoms: • Palpitations ... Noncardiac: • Pulmonary ... Irregular wide-complex tachycardia ... diagnosis #management #cardiology
Hyperthyroidism Overview Clinical Manifestation of Hyperthyroidism: • Fatigue • Weight loss • Heat intolerance • Depression, nervousness
or tremors • Palpitations ... Metastatic Follicular CA ... ↑ AST/ALT • Treatment ... proptosis), unblinking stare ... Ophthalmoplegia • Atrial fibrillation
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