13 results
Atrial Fibrillation - Diagnosis, Causes, Presentations
Causes (PIRATES):
 - Pulmonary embolism 
 - Ischemia (cardiac) 
 -
Atrial Fibrillation ... embolism - Ischemia ... enlargement or myxoma ... AFib #Diagnosis ... 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
Atrial Fibrillation ... mitral valve coaptation ... AFib #POCUS #Echocardiogram ... #A4C #clinical ... #cardiology
PIRATES Mnemonic for the Causes of Atrial Fibrillation

P - Pulmonary Disease, PE
I - Ischemic, Idiopathic
R -
Fibrillation ... Disease, PE I - Ischemic ... #Fibrillation # ... AFib #Differential ... #Diagnosis #Cardiology
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 ... (< 5% pts with afibb ... Mechanical heart valve ... #management #cardiology
AFib with RVR on Point of Care Ultrasound (POCUS) - PLAX

POCUS showing us why this pt's
AFib with RVR on ... @eabramsMD #AFib ... #clinical #cardiology ... echocardiogram #atrial ... #fibrillation
Ventricular Fibrillation on POCUS - Apical 4 Chamber View

A 50-year-old woman with a history of cardiac
on POCUS - Apical ... with preserved atrial ... #VFib #Ventricular ... POCUS #echocardiogram ... #cardiology #clinical
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