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
Heart Failure with Preserved Ejection Fraction: Management Principles

General Therapeutic Principles:
Reduce the congestive state 
 - Caution
Ejection Fraction: Management ... prevent myocardial ischemia ... - May mimic HF ... hypertension, pulmonary ... ineffective) #Management
Giant Cell Arteritis (GCA) - Vasculitis Management Algorithm - ACR/VF 2021 Guidelines
 • Visual Symptoms/Loss or
) - Vasculitis Management ... Algorithm - ACR ... Cranial Ischemia ... Cranial Ischemia ... GCA #Vasculitis #Management
Chest Pain Diagnosis and Management Algorithm
STEMI:
 - Hx: Pressure like CP, Radiation to arm/jaw, CAD risk
Diagnosis and Management ... Algorithm STEMI ... deficit, Limb ischemia ... Pulmonary Embolism ... COPD, asthma, CF
COVID-19 Hypoxia Management

Indication for endotracheal intubation?
Tolerating supplemental oxygen?
Consider HFNC
Not tolerating HFNC or HFNC is not available?
Consider
COVID-19 Hypoxia Management ... Society of Critical ... support #COVID19 #management ... #schema #criticalcare ... hypoxia #failure #algorithm
General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
 • Typically set at
General schema for ... Internet Book of Critical ... support #COVID19 #management ... #schema #criticalcare ... hypoxia #failure #algorithm
Atrial Fibrillation (A-Fib) Summary

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

Why?
Cardiac:
	• Valvular heart
Decompensated HF ... • New ischemia ... Noncardiac: • Pulmonary ... β-blocker or CCB Anticoagulation ... AFib #diagnosis #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
approach to empiric anticoagulation ... Internet Book of Critical ... #COVID19 #management ... #schema #criticalcare ... #algorithm #SARSCOV2
Possible Approach to Immunosuppression in Severe COVID-19

The diagnosis and treatment of cytokine storm remains unknown and
Internet Book of Critical ... iBookCC #empiric #anticoagulation ... #COVID19 #management ... #schema #criticalcare ... #algorithm #SARSCOV2
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