12 results
Acute Heart Failure Exacerbation - Diagnostic Likelihood Ratios
+LR > 3.5:
 • Overall judgement of ED physician
JVD • S3 • AFib ... failure • No dyspnea ... Examination #chf ... #cardiology #heartfailure
CHF - Left-Sided Heart Failure - Differential Diagnosis Algorithm

Valvular Disease (Preserved Diastolic/Systolic Function)
 • Mitral Stenosis
CHF - Left-Sided ... Uncontrolled Severe Hypertension ... Constriction #CHF ... #LeftSided #HeartFailure ... #Cardiology #Differential
Stages in the development of HF and recommended therapy by stage. ACEI indicates angiotensin-converting enzyme inhibitor;
development of HF ... medical therapy; HF ... #CHF #Congestive ... #HeartFailure # ... #Management #Cardiology
Right-Sided Heart Failure - Differential Diagnosis Algorithm
Cardiac Causes - Rule out Left-Sided Heart Failure (Most Common):
Differential Diagnosis Algorithm ... Arterial Hypertension ... Veno-Occlusive Disease #RHF ... #RightSided #HeartFailure ... #Cardiology #Differential
Causes of Chronic Dyspnea - Differential Diagnosis Algorithm
Pericardial
 • Effusion
 • Cardiac Tamponade*
 • Constriction
Myocardial
 •
Causes of Chronic Dyspnea ... Differential Diagnosis Algorithm ... Interstitium • ILD • CHF ... Hypertension Pulmonary ... Acidosis #Chronic #Dyspnea
Heart Failure with Preserved Ejection Fraction: Management Principles

General Therapeutic Principles:
Reduce the congestive state 
 - Caution
- May mimic HF ... causing systemic hypertension ... , pulmonary hypertension ... #Management #Cardiology ... #Treatment #HeartFailure
Flowchart to diuretic use in acute heart failure.

(A) Congestion with volume overload. 

(B) Treatment algorithm after
blood pressure; HF ... other reasons for dyspnoea ... Diuretic #Diuresis #CHF ... #HeartFailure # ... Cardiology #Management
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 ... Decompensated HF ... Noncardiac: • Pulmonary ... #Fibrillation #Cardiology ... #Management #Algorithm
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
hypertension Rx ... 20 mg q6hr) - Hypotension ... #Checklist #CHF ... #Cardiogenic #HeartFailure ... #Cardiology #Management
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 ... Decompensated HF ... Noncardiac: • Pulmonary ... (< 5% pts with afibb ... diagnosis #management #cardiology