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This is ATRIAL FIBRILLATION. Fibrillating right atria and rapid ventricular response.
Pulmonary vein isolation was performed and
atria and rapid ventricular ... Pulmonary vein isolation ... AtrialFibrillation #AFib ... #Clinical #Video ... #Heart #OpenHeart
Atrial Fibrillation (A-Fib) Summary

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

Why?
Cardiac:
	• Valvular heart
Cardiac: • Valvular ... heart disease ... • Structural heart ... Noncardiac: • Pulmonary ... #diagnosis #management
Shock Types - Classification
State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
decompensated heart ... venous return/ventricular ... pneumothorax, cardiac ... types #diagnosis #management ... #criticalcare #differential
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
performed) • Clinical ... Cardiovascular MRI Clinical ... • Cardiogenic shock ... , sudden cardiac ... death Management
Shock and Vasoactive Drugs 
1) Determine type and etiology of shock
 • Distributive: Sepsis, Anaphylaxis, Neurogenic
Shock and Vasoactive ... Acute MI, Acute Heart ... rupture, VSD, etc.), Ventricular ... Pericardial tamponade, Pulmonary ... inopressors #diagnosis #management
Causes of Palpitations
 • ARRHYTHMiA 
 • SINUS ARRYTHMIA 
 • ATRIAL FIBRILLATION 
 • ATRIAL
ATRIAL FLUTTER • HEART ... VALVULAR DISEASE • HEART ... SYPATHOMIMETICS • CARDIAC ... PHAEOCHROMOCYTOMA • PULMONARY ... Palpitations #Causes #Differential
Tetralogy of Falot on Chest X-Ray
Tetralogy of Falot comprises four defects -
1. Ventricular septal defect (VSD)
2.
typical boot shaped heart ... along with concave Pulmonary ... the most common cardiac ... complication in Cyanotc Heart ... Chest #XRay #CXR #clinical
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Severe Heart Failure ... - Management Checklist ... patient with right ventricular ... and refractory heart ... HeartFailure #Cardiology #Management
Approach to the Hypotensive Patient - Differential Diagnosis Framework for Hypotension

Blood Pressure = Heart Rate x
Hypotensive Patient - Differential ... Blood Pressure = Heart ... Bradycardia (inadequate cardiac ... depletion • Pulmonary ... insufficiency (MC) Cardiac
Shock Classification
Shock Definition: State of cellular and tissue hypoxia due to: reduced oxygen delivery, increased oxygen
infarction, following cardiac ... decompensated heart ... venous return/ventricular ... pneumothorax, cardiac ... Types #diagnosis #management