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Heart Failure with Preserved Ejection Fraction: Management Principles

General Therapeutic Principles:
Reduce the congestive state 
 - Caution
Ejection Fraction: Management ... sinus rhythm in atrial ... prevent myocardial ischemia ... #Cardiology #HFpEF ... #Treatment #HeartFailure
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
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Treatment of Stable ... pulmonary disease or CHF ... pulmonary disease or CHF ... #management #cardiology ... #algorithm
Hyperkalemia - Diagnosis and Management - GrepMed Handbook

S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
/crush injury, ischemia ... - ↓ Effective arterial ... Na delivery): CHF ... reabsorption) Workup ... ileus/obstruction (ischemia
Perhaps quite too often, the knee-jerk reaction to an elevated Troponin is to call our friends
cannot, coronary ischemia ... #diagnosis #algorithm ... #management #clinical ... #criticalcare #foamed ... #treatment
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
#diagnosis #differential ... #algorithm #management ... #cardiology #treatment ... #table #foamed ... #heartfailure #chf
Pulmonary Renal Syndromes - OnePager Summary
Autoimmune ANCA vasculitis (AAV): GPA (granulomatous with polyangiitis), EGPA (eosinophilic granulomatosis
EGPA) • Digital ischemia ... mononeuritis multiplex WORKUP ... blood retum in serial ... #diagnosis #management ... #treatment
There are similarities and differences between these 3 conditions which all carry treatment implications. Each mimic
which all carry treatment ... hormones that work ... #diagnosis #differential ... #algorithm #management ... #foamed
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
Differential Diagnosis ... May have typical HF ... Management during ... Serial TTE and close ... #cardiology #treatment
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 ... one post op Cardiology ... medical and surgical management