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Heart Failure with Preserved Ejection Fraction: Management Principles

General Therapeutic Principles:
Reduce the congestive state 
 - Caution
Principles: Reduce the congestive ... prevent myocardial ischemia ... hypertension, pulmonary ... #Management #Cardiology ... #Treatment #HeartFailure
Atrial Fibrillation Overview

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

1. Why?
Cardiac:
• Valvular heart disease
•
Overview Symptoms ... • New ischemia ... Noncardiac: • Pulmonary ... #Fibrillation #Cardiology ... #Management #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
STAGES of CHF (A, B, C, D), however, describe the severity of structural abnormalities that impair
flare ups that cause ... III and class IV symptoms ... #Management #Cardiology ... #CHF #Congestive ... Stages #ACCAHA #Algorithm
In order to better classify heart failure, the American College of Cardiology Foundation and the American
American College of Cardiology ... With treatment, ... or signs of heart ... #Diagnosis #Cardiology ... #CHF #Congestive
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
Signs of congestion ... with presence of pulmonary ... the determined cause ... #differential #algorithm ... #heartfailure #chf
Bronchiectasis - Summary

What?
• Bronchiectasis is derived from the Greek words bronckos meaning airway and ectasis meaning
inflammation Symptoms ... Immunodeficiencies • Connective ... Nasal polyps and signs ... CT) • Broncho-arterial ... mycobacteria Treatment
Vasculitis - Differential Diagnosis Framework

When to Consider Vasculitis:
• Purpura, ischemic skin lesions
• Mononeuritis multiplex
• Hematuria, proteinuria,
Presentation: Systemic Symptoms ... purpura: Strong sign ... • Progressive symptoms ... Cerebrospinal fluid (CSF ... tract, and often causes
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
murmur 3/6) - Pulmonary ... history of: a) Ischemic ... disease b) CHF ... event, follow ACC algorithm ... one post op Cardiology
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
exclude other causes ... cardiomyopathy • Pulmonary ... May have typical HF ... diagnosis #management #cardiology ... #treatment