13 results
Newly diagnosed Atrial Fibrillation - Cardioversion and Anticoagulation Algorithm

Matthew Ho, MD PhD @MatthewHoMD

#Atrial #Fibrillation #Cardioversion #Anticoagulation
Newly diagnosed Atrial ... Algorithm Matthew ... MatthewHoMD #Atrial ... #Algorithm #management ... #cardiology
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 • New ischemia ... Anticoagulation ... #Cardiology #Management ... #Algorithm
ISCHEMIA Trial - Management Algorithm for patients with Stable Angina

Stress Test -> ? +moderate or severe
ISCHEMIA Trial - ... Management Algorithm ... Diagnosis #Management #Algorithm ... #Cardiology #EBM ... #Trial
Newly Diagnosed Atrial Fibrillation - Management Algorithm

 • Rate Control
 • Rhythm Control
 • Anticoagulation

Matthew Ho,
Newly Diagnosed Atrial ... Rhythm Control • Anticoagulation ... MatthewHoMD #Atrial ... RVR #Management #Algorithm ... #cardiology #AFib
COVID-19 Hypoxia Management

Indication for endotracheal intubation?
Tolerating supplemental oxygen?
Consider HFNC
Not tolerating HFNC or HFNC is not available?
Consider
CONSIDER: a trial ... COVID19 #management #schema ... #criticalcare # ... hypoxia #failure #algorithm
Atrial Fibrillation (A-Fib) Summary

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

Why?
Cardiac:
	• Valvular heart
Decompensated HF • New ischemia ... unknown duration • Anticoagulation ... exclude thrombus • Anticoagulation ... β-blocker or CCB Anticoagulation ... diagnosis #management #cardiology
Intra-Aortic Balloon Pump (IABP)

Intra-aortic balloon counter-pulsation is a method of invasive hemodynamic support. A catheter is
placed through an arterial ... • Timing • Anticoagulation ... diagnosis #management #cardiology ... #criticalcare
Possible approach to empiric anticoagulation in COVID-19

Is D-dimer above '"1,000-2,000 ng/ml?
Contraindication to anticoagulation?
Check fibrinogen level and/or
approach to empiric anticoagulation ... -> Therapeutic Anticoagulation ... COVID19 #management #schema ... #criticalcare # ... algorithm #SARSCOV2
Possible Approach to Immunosuppression in Severe COVID-19

The diagnosis and treatment of cytokine storm remains unknown and
iBookCC #empiric #anticoagulation ... COVID19 #management #schema ... #criticalcare # ... algorithm #SARSCOV2
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Key Components: ... physical exam - Key components ... event, follow ACC algorithm ... Anticoagulation ... one post op Cardiology