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apml differentiation evaluation fibrillation oncology perioperative preop preoperative risk stratification syndrome
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 ... (< 5% pts with afibb ... #diagnosis #management ... #cardiology
Differentiation Syndrome in APML Epidemiology: • Incidence: common in APL (2-48% depending on the study) • Triggers:
• Triggers: ATRA ... common • Imaging: CXR ... - pulmonary opacities ... sepsis), PE, DAH, CHF ... #management #hematology
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
disease b) CHF ... event, follow ACC algorithm ... one post op Cardiology ... medical and surgical management ... stratification #diagnosis
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