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Newly diagnosed Atrial Fibrillation - Cardioversion and Anticoagulation Algorithm

Matthew Ho, MD PhD @MatthewHoMD

#Atrial #Fibrillation #Cardioversion #Anticoagulation
Newly diagnosed ... Atrial Fibrillation ... Anticoagulation Algorithm ... MatthewHoMD #Atrial ... #management #cardiology
Multifocal Atrial Tachycardia (MAT)
• At least 3 different P wave morphologies: 
• Rate 100-180
• Irregular 
Etiology
Multifocal Atrial ... • Hypoxia • Pulmonary ... Tachycardia #MAT #Cardiology ... #Diagnosis #ECG ... #EKG #Management
Atrial Fibrillation Overview

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

1. Why?
Cardiac:
• Valvular heart disease
•
Atrial Fibrillation ... Noncardiac: • Pulmonary ... Anticoagulation #Atrial ... #Fibrillation #Cardiology ... #Management #Algorithm
Causes of Diastolic Murmurs - Differential Diagnosis Algorithm
Early Diastolic:
 • Aortic Regurgitation
 • Pulmonary Regurgitation (Graham-Steell
- Differential Diagnosis ... Algorithm Early ... Regurgitation • Pulmonary ... Flint Murmur) • Atrial ... Diastolic #Murmurs #Cardiology
Newly Diagnosed Atrial Fibrillation - Management Algorithm

 • Rate Control
 • Rhythm Control
 • Anticoagulation

Matthew Ho,
Newly Diagnosed ... Atrial Fibrillation ... - Management Algorithm ... MatthewHoMD #Atrial ... #Algorithm #cardiology
Feeding Vessel Sign on Chest CT
 • Distinct pulmonary vessel leading into a lung nodule or
Sign on Chest CT ... • Distinct pulmonary ... #Vessel #Sign #CT ... #diagnosis #radiology ... #clinical
On the left a patient who had a CT to rule out pulmonary embolism.
There is a
patient who had a CT ... to rule out pulmonary ... The diagnosis based ... on this CT was ... #Clinical #Radiology
Halo Sign on Chest CT
 • SPN or mass surrounded by a circumferential GGO
 • DDx:
Sign on Chest CT ... #Halo #Sign #CT ... #Lung #Pulmonary ... #diagnosis #radiology ... #clinical
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
flutter, ectopic atrial ... with caution in pulmonary ... with caution in pulmonary ... Tachycardia #Treatment #management ... #cardiology #algorithm
Degenerated Left Atrial Myxoma on Echocardiogram (PLAX)
A 68-year-old gentleman with progressive shortness of breath and cystic
Degenerated Left Atrial ... Final diagnosis ... Echocardiogram #clinical ... #PLAX #clinical ... #cardiology #pocus