9 results
Atrial Fibrillation Overview

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

1. Why?
Cardiac:
• Valvular heart disease
•
Atrial Fibrillation ... light-headedness, dizziness, dyspnea ... Noncardiac: • Pulmonary ... Anticoagulation ... #Cardiology #Management
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
Possible approach to empiric ... in COVID-19 ... Care @iBookCC #empiric ... #COVID19 #management ... algorithm #SARSCOV2 #Coronavirus
COVID-19 - A Seattle Intensivist's One-Page Cheat-Sheet on COVID-19 v2.7 Updated March 26 2020

(v2.7) incorporating newer
• Infection: Coronavirus ... -2, 2019 Novel Coronavirus ... worldwide numbers) • Incubation ... illness) • 20-40% dyspnea ... Cheatsheet #Diagnosis #Management
Possible Approach to Immunosuppression in Severe COVID-19

The diagnosis and treatment of cytokine storm remains unknown and
Immunosuppression in Severe COVID ... Care @iBookCC #empiric ... #anticoagulation ... #COVID19 #management ... algorithm #SARSCOV2 #Coronavirus
Atrial Fibrillation (A-Fib) Summary

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

Why?
Cardiac:
	• Valvular heart
light-headedness, dizziness, dyspnea ... Noncardiac: • Pulmonary ... unknown duration • Anticoagulation ... β-blocker or CCB Anticoagulation ... AFib #diagnosis #management
Chronic Thromboembolic Pulmonary Hypertension (CTEPH) and Pulmonary Thromboendarterectomy
Chronic Thromboembolic Pulmonary Hypertension
Definition: mean pulmonary-artery pressure > 25mmHg
Exercise intolerance, dyspnea ... thromboembolic material ... Rarely performed Anticoagulation ... hemodynamic variables, dyspnea ... Thromboendarterectomy #diagnosis #management
Community Acquired Pneumonia (CAP) - Diagnosis and Management

Pneumonia Signs/Symptoms:
 • Confusion/disorientation (LR + 1.9)
 • Cough
Diagnosis and Management ... • Cough • Dyspnea ... ventilation by either intubation ... RESPIRATORY 96.1% • Empiric ... #treatment #Pulmonary
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Libman Sacks) • Atrial ... Heart Failure • Dyspnea ... Cerebral > Splenic, pulmonary ... cause + Systemic anticoagulation ... Endocarditis #diagnosis #management
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 ... Serial TTE and close