15 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 ... #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 ... hypertension, pulmonary ... #Cardiology #HFpEF ... #Treatment #HeartFailure
ISCHEMIA Trial - Management Algorithm for patients with Stable Angina

Stress Test -> ? +moderate or severe
ISCHEMIA Trial - ... Management Algorithm ... evaluation or management ... #Algorithm #Cardiology ... #EBM #Trial
2017 ACC/AHA/HFSA Focused Update of the 2013 ACCF/AHA Guideline for the Management of Heart Failure: A
American College of Cardiology ... Task Force on Clinical ... #CHF #guideline ... #ACCAHA2017 #cardiology ... #treatment #algorithm
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Treatment of Stable ... disease or CHF) ... disease or CHF) ... #management #cardiology ... #algorithm
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 ... hospitalization for the management ... Spironolactone #HFpEF #dCHF ... #Cardiology #EBM ... VisualAbstract #Trial
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 ... AFib #diagnosis #management ... #cardiology
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
antiarrhythmics - Ischemic ... Revascularization, treatment ... #Checklist #CHF ... #HeartFailure #Cardiology ... #Management
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
joint needs to be clinically ... Hyperflexion injury with axial ... 1 week MH/CCF ... /CWRU EM Res @MetroHealth_EM ... Mallet #Finger #Radiology
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
with presence of pulmonary ... #differential #algorithm ... #management #cardiology ... #treatment #table ... #heartfailure #chf