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Algorithm for the management of atrial fibrillation with rapid ventricular response

- Dr. Tom Fadial @thame 

#Atrial
Algorithm for the ... management of atrial ... #fibrillation #AFib ... #RVR #Algorithm ... #Emergency #Cardiology
Atrial Fibrillation - Diagnosis, Causes, Presentations
Causes (PIRATES):
 - Pulmonary embolism 
 - Ischemia (cardiac) 
 -
Presentations Causes ... (PIRATES): - Pulmonary ... #Fibrillation #AFib ... Mnemonic #PIRATES #Emergency ... #Cardiology
Syncope - Differential Diagnosis Algorithm
Neurocardiogenic:
 • Vasovagal
 • Orthostatic Hypotension
 • Autonomic Neuropathy
 • Situational (micturition,
Differential Diagnosis Algorithm ... Respiratory: • Pulmonary ... • AFib/AFlutter ... Syndrome #Syncope #Cardiology ... #causes
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
disease or CHF) ... Treat underlying cause ... disease or CHF) ... Tachycardia #Treatment #management ... #cardiology #algorithm
Stage I - Redistribution
In a normal chest film with the patient standing erect, the pulmonary vessels
The pulmonary vascular ... The term redistribution ... during a period of CHF ... #Clinical #Radiology ... #CXR #CHF #Cephalization
STAGES of CHF (A, B, C, D), however, describe the severity of structural abnormalities that impair
STAGES of CHF (A ... flare ups that cause ... #Management #Cardiology ... #CHF #Congestive ... Stages #ACCAHA #Algorithm
Acute Atrial Fibrillation - Initial Options for Rate Control
Diltiazem IV
 •  Rapid onset and rapidly
in HFrEF (long-term ... IV bolus can cause ... • Does not cause ... #pharmacology #management ... #cardiology #AFib
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 ... #Fibrillation #Cardiology ... #Management #Algorithm
Right-Sided Heart Failure - Differential Diagnosis Algorithm
Cardiac Causes - Rule out Left-Sided Heart Failure (Most Common):
Differential Diagnosis Algorithm ... Cardiac Causes ... Veno-Occlusive Disease #RHF ... #HeartFailure #Cardiology ... Differential #Diagnosis #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 ... Noncardiac: • Pulmonary ... #Fibrillation #AFib ... #diagnosis #management ... #cardiology