16 results
Atrial Fibrillation - Diagnosis, Causes, Presentations
Causes (PIRATES):
 - Pulmonary embolism 
 - Ischemia (cardiac) 
 -
Atrial Fibrillation ... embolism - Ischemia ... withdrawal ("holiday heart ... #Fibrillation # ... PIRATES #Emergency #Cardiology
Atrial Fibrillation Overview

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

1. Why?
Cardiac:
• Valvular heart disease
•
Atrial Fibrillation ... Decompensated HF • New ischemia ... #Fibrillation # ... Cardiology #Management ... #Algorithm
Stages in the development of HF and recommended therapy by stage. ACEI indicates angiotensin-converting enzyme inhibitor;
inhibitor; AF, atrial ... fibrillation; ARB ... ejection fraction; HFrEF ... Stages #ACCAHA #Algorithm ... #Management #Cardiology
Heart Failure with Preserved Ejection Fraction: Management Principles

General Therapeutic Principles:
Reduce the congestive state 
 - Caution
Heart Failure with ... Ejection Fraction: Management ... fibrilation may ... prevent myocardial ischemia ... #Cardiology #HFpEF
Causes of Ischemic Stroke - Differential Diagnosis Algorithm
Thrombosis - Atherosclerosis, Arterial Dissection, Fibromuscular Dysplasia
 - Large
Causes of Ischemic ... Ascending Aorta - Heart ... Valvular • Atrial ... fibrillation ... #Causes
Acute Atrial Fibrillation - Initial Options for Rate Control
Diltiazem IV
 •  Rapid onset and rapidly
Acute Atrial Fibrillation ... Beneficial in HFrEF ... #Fibrillation # ... #pharmacology #management ... #cardiology #AFib
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:
cardiovascular causes ... hospitalization for the management ... Spironolactone #HFpEF ... #dCHF #Cardiology ... VisualAbstract #Trial
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Treat underlying cause ... fibrillation or ... Treat underlying cause ... Tachycardia #Treatment #management ... #cardiology #algorithm
Atrial Fibrillation (A-Fib) Summary

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

Why?
Cardiac:
	• Valvular heart
Atrial Fibrillation ... : • Valvular heart ... Decompensated HF • New ischemia ... AFib #diagnosis #management ... #cardiology
Premature Ventricular Complexes (PVC's) - Summary Framework

Why PVCs?  Can be the first manifestation of cardiac
• Myocardial ischemia ... • Underlying ischemic ... capture of the atria ... fibrillation ... #differential #cardiology