13 results
Atrial Fibrillation Overview

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

1. Why?
Cardiac:
• Valvular heart disease
•
Decompensated HF • New ischemia ... Noncardiac: • Pulmonary ... Anticoagulation ... #Fibrillation #Cardiology ... #Management #Algorithm
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 Indication ... Society of Critical ... #management #schema ... hypoxia #failure #algorithm
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
in COVID-19 ... 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
General schema for respiratory support in patients with COVID-19
Low flow nasal cannula
 • Typically set at
patients with COVID ... Internet Book of Critical ... respiratory #support #COVID19 ... #management #schema ... 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 ... #cardiology
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
history of: a) Ischemic ... event, follow ACC algorithm ... Change in clinical ... Anticoagulation ... one post op Cardiology
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
cardiomyopathy • Pulmonary ... suggest prophylactic anticoagulation ... support for patients clinically ... teratogenic GDMT meds ... #cardiology #treatment
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Cerebral > Splenic, pulmonary ... Early embolic/ischemic ... cause + Systemic anticoagulation ... Endocarditis #diagnosis #management ... #cardiology
Perhaps quite too often, the knee-jerk reaction to an elevated Troponin is to call our friends
our friends from Cardiology ... cannot, coronary ischemia ... Cardiology cannot ... #diagnosis #algorithm ... #management #clinical