12 results
Atrial Fibrillation Overview

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

1. Why?
Cardiac:
• Valvular heart disease
•
light-headedness, dizziness, dyspnea ... Noncardiac: • Pulmonary ... Anticoagulation ... #Fibrillation #Cardiology ... #Management #Algorithm
Algorithm for Treatment of Chronic Thromboembolic Disease (CTEPH)
Initial Imaging for Screening - V/Q scan - 90-100%
Algorithm for Treatment ... ) • Consider Lung ... karanpdesai #cteph #management ... #algorithm #cardiology ... #pulmonary #treatment
Managing warfarin INR

Warfarin dosage must be individualized according to the patient's response to the drug, and
Over-anticoagulation ... #management #algorithm ... #pharmacology #treatment ... #decisionaid #cardiology ... #hematology #warfarin
Patient risk stratification algorithm for the treatment of cancer-associated thrombosis.

Currently, edoxaban and rivaroxaban are the only
stratification algorithm ... for the treatment ... thrombosis; PE = pulmonary ... #Anticoagulation ... #Management #Hematology
Chronic Thromboembolic Pulmonary Hypertension (CTEPH) and Pulmonary Thromboendarterectomy
Chronic Thromboembolic Pulmonary Hypertension
Definition: mean pulmonary-artery pressure > 25mmHg
Exercise intolerance, dyspnea ... Ventilation-perfusion lung ... Bypass Other Treatment ... Rarely performed Anticoagulation ... Thromboendarterectomy #diagnosis #management
Amiodarone Induced Lung Toxicity Summary

Who?
• 5% of patients
• Dose ≥ 400 mg per day

How?  Possible
• Amiodarone half ... starting amiodarone treatment ... Dyspnea 3. ... macrophages Treatment ... #diagnosis #management
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
verrucous) • Lung ... Heart Failure • Dyspnea ... Cerebral > Splenic, pulmonary ... cause + Systemic anticoagulation ... #cardiology
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
cardiomyopathy • Pulmonary ... typical HF sx: dyspnea ... Management during ... suggest prophylactic anticoagulation ... #cardiology #treatment
Summary of Oncologic Emergencies

Neutropenic fever:
- Fever + ANC < 500 → start cefepime ± vancomycin (if
Facial swelling, dyspnea ... interventional radiology ... stenting - Consider anticoagulation ... ± tocilizumab; call ... renal failure, pulmonary
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
event, follow ACC algorithm ... Anticoagulation ... one post op Cardiology ... unless prior heart/lung ... medical and surgical management