11 results
Atrial Fibrillation - Diagnosis, Causes, Presentations
Causes (PIRATES):
 - Pulmonary embolism 
 - Ischemia (cardiac) 
 -
embolism - Ischemia ... enlargement or myxoma ... #Fibrillation #AFib ... Mnemonic #PIRATES #Emergency ... #Cardiology
The arrows point to a subendocardial region with poor contrast enhancement due to ischemia. This is
enhancement due to ischemia ... subendocardial ischemia ... #Clinical #EM #IM ... #Cardiology #Radiology ... Subendocardial #Ischemia
Atrial Fibrillation on POCUS Echocardiogram (A4C)

35yoF presents with acute onset atrial fibrillation.  POCUS shows dilated
POCUS shows dilated ... mitral valve coaptation ... #Fibrillation #AFib ... #A4C #clinical ... #cardiology
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 ... (< 5% pts with afibb ... Mechanical heart valve ... #Fibrillation #AFib ... diagnosis #management #cardiology
Anticoagulant Therapy after PCI (patients with AFib)
Dual-Therapy Preferred:
 • Triple therapy = increased bleeding
(patients with AFib ... risk outweighed ischemic ... all patients in clinical ... derick_gabel via ACCP Cardiology ... pharmacology #management #cardiology
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
• Prosthetic valve ... Libman Sacks) • Atrial ... myxoma • Hypercoagulable ... Early embolic/ischemic ... diagnosis #management #cardiology
Parasternal Long Axis view with measurement. Note the right ventricle (RV), interventricular septum (S), left ventricle
ventricle (LV), left atrium ... anterior mitral valve ... to the aortic valve ... #Clinical #EM #Cardiology ... #POCUS #Parasternal
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
• Prosthetic valve ... Libman Sacks) • Atrial ... myxoma • Hypercoagulable ... Early embolic/ischemic ... Differential #Diagnosis #cardiology
Cardiac LV Thrombus on Echocardiogram Short-Axis View (PSAX)
48 year old woman in ICU for acute ischemic
ICU for acute ischemic ... : serial blood cultures ... are all of some value ... Echocardiogram #PSAX #clinical ... #cardiology
Cardiac LV Thrombus on Echocardiogram (A4C)
48 year old woman in ICU for acute ischemic limb. PMHx
ICU for acute ischemic ... : serial blood cultures ... are all of some value ... Echocardiogram #A4C #clinical ... #cardiology