35 results
Heart Failure with Preserved Ejection Fraction: Management Principles

General Therapeutic Principles:
Reduce the congestive state 
 - Caution
Ejection Fraction: Management ... , pulmonary hypertension ... ineffective) #Management ... #Cardiology #HFpEF ... #Treatment #HeartFailure
Acute and Chronic Causes of Dyspnea - Differential Diagnosis
Pulmonary/Chest Wall:
 • Acute: Trauma, COPD exacerbation, Asthma
Acute and Chronic Causes ... Differential Diagnosis Pulmonary ... decompensated CHF ... , Hypertensive emergency ... Pericarditis, CAD, HFrEF
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Cardiogenic Shock - Management ... hypertension Rx ... 20 mg q6hr) - Hypotension ... Revascularization, treatment ... #Checklist #CHF
Causes of Chronic Dyspnea - Differential Diagnosis Algorithm
Pericardial
 • Effusion
 • Cardiac Tamponade*
 • Constriction
Myocardial
 •
Causes of Chronic ... Artery Disease • Stable ... Interstitium • ILD • CHF ... Hypertension Pulmonary ... Diagnosis #Algorithm #Causes
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Treatment of Stable ... disease or CHF) ... Treat underlying cause ... disease or CHF) ... #management #cardiology
Iron Deficiency in Heart Failure
Pathophysiology:
Chronic heart failure leads to an increase in inflammatory cytokines → Inflammation
→ Inflammation causes ... functional ID) Treatment ... iron #deficiency #CHF ... #HFrEF #heartfailure ... #diagnosis #management
TOPCAT - Spironolactone for Heart Failure with Preserved Ejection Fraction

N Engl J Med 2014; 370:1383-1392 https://www.nejm.org/doi/10.1056/NEJMoa1313731

CONCLUSIONS:
ejection fraction, treatment ... cardiovascular causes ... hospitalization for the management ... Spironolactone #HFpEF ... #dCHF #Cardiology
TRALI vs TACO - Transfusion Reactions
TRALI:
 • Epidemiology: 0.1% of transfused patientsl
 • Risk factors: Critical
without other cause ... : 33% • Treatment ... : Age>60, CKD, CHF ... , and CXR with pulmonary ... diagnosis #comparison #table
Pheochromocytoma - Diagnosis and Management Summary
10 percent rule = 10% of pheochromocytomas are extra-adrenal, multiple, bilateral,
malignant, pediatric cases ... may present with pulmonary ... Treatment • Operable ... • Treatment of ... #treatment
Pulmonary Embolism - Risk Stratification and Prognostication based on scores and clinical features

 • Bova score
Pulmonary Embolism ... class (30-day all cause ... Hemodynamics (Stable ... , Transient Hypotension ... prognostication #diagnosis #management