16 results
Atrial Fibrillation Overview

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

1. Why?
Cardiac:
• Valvular heart disease
•
• New ischemia ... Noncardiac: • Pulmonary ... Anticoagulation ... Fibrillation #Cardiology #Management ... #Algorithm
On the left a patient who had a CT to rule out pulmonary embolism.
There is a
CT to rule out pulmonary ... was cardiogenic pulmonary ... #Clinical #Radiology ... #CTChest #SeptalThickening ... #CHF #RadiologyAssistant
Stage I - Redistribution
In a normal chest film with the patient standing erect, the pulmonary vessels
In daily clinical ... during a period of CHF ... #Clinical #Radiology ... #CXR #CHF #Cephalization ... Redistribution #RadiologyAssistant
Chest Pain Diagnosis and Management Algorithm
STEMI:
 - Hx: Pressure like CP, Radiation to arm/jaw, CAD risk
Chest Pain Diagnosis ... and Management ... Algorithm STEMI: ... deficit, Limb ischemia ... Pulmonary Embolism
Atrial Fibrillation (A-Fib) Summary

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

Why?
Cardiac:
	• Valvular heart
exercise intolerance, chest ... Decompensated HF ... • New ischemia ... Noncardiac: • Pulmonary ... AFib #diagnosis #management
Chronic Thromboembolic Pulmonary Hypertension (CTEPH) and Pulmonary Thromboendarterectomy
Chronic Thromboembolic Pulmonary Hypertension
Definition: mean pulmonary-artery pressure > 25mmHg
Thromboembolic Pulmonary ... Plexiform-lesion formation Clinical ... not specific • Chest ... Rarely performed Anticoagulation ... Thromboendarterectomy #diagnosis #management
Notice that even within each lobe there is a gravity dependent difference in density.
This is only
transudate like in CHF ... #Clinical #Radiology ... #CTChest #CHF # ... Alveolar #Pulmonary ... Gravity #Dependent #RadiologyAssistant
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
history of: a) Ischemic ... disease b) CHF ... event, follow ACC algorithm ... Change in clinical ... Anticoagulation
Previous normal chest x-ray (left) and CHF stage II with perihilar haze (right). On the left
Previous normal chest ... x-ray (left) and CHF ... diameter of the pulmonary ... #Clinical #Radiology ... Engorgement #Thickening #RadiologyAssistant
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
cardiomyopathy • Pulmonary ... Clinical • Under-recognized ... May have typical HF ... suggest prophylactic anticoagulation ... support for patients clinically