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
sinus rhythm in atrial ... prevent myocardial ischemia ... hypertension, pulmonary ... #Management #Cardiology ... #Treatment #HeartFailure
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
Non-lschemic Causes of Cardiogenic Shock:

Beta-Blockers, Calcium Channel Blockers, Digoxin 

Myocarditis 

Cardiomyopathies (sarcoidosis, amyloidosis, Takatsubo, 
hemochromatosis) 

Valvular
Non-lschemic Causes ... of Cardiogenic Shock ... Supraventricular/Atrial ... Tamponade, pulmonary ... Differential #Diagnosis #Cardiology
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
& Cardiogenic Shock ... antiarrhythmics - Ischemic ... Revascularization, treatment ... #Checklist #CHF ... #HeartFailure #Cardiology
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
INITIATIVE ALGORITHM ... Infarction  Ischemic ... Obtain femoral arterial ... #Algorithm #DCSI ... Initiative #Management #Cardiology
Right-Sided Heart Failure - Differential Diagnosis Algorithm
Cardiac Causes - Rule out Left-Sided Heart Failure (Most Common):
Differential Diagnosis Algorithm ... Arterial Hypertension ... Veno-Occlusive Disease #RHF ... #HeartFailure #Cardiology ... Differential #Diagnosis #Algorithm
On the left another patient with alveolar edema at admission, which resolved after treatment.
When you scroll
resolved after treatment ... distribution of pulmonary ... #Clinical #Radiology ... #CXR #CHF #Alveolar ... #Pulmonary #Edema
Atrial Fibrillation (A-Fib) Summary

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

Why?
Cardiac:
	• Valvular heart
Atrial Fibrillation ... Decompensated HF ... • New ischemia ... Noncardiac: • Pulmonary ... diagnosis #management #cardiology
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
with presence of pulmonary ... essentially Cardiogenic Shock ... #differential #algorithm ... #management #cardiology ... #heartfailure #chf