14 results
Atrial Fibrillation - Diagnosis, Causes, Presentations
Causes (PIRATES):
 - Pulmonary embolism 
 - Ischemia (cardiac) 
 -
- Diagnosis, Causes ... embolism - Ischemia ... #Fibrillation #AFib ... #Diagnosis #Causes ... PIRATES #Emergency #Cardiology
ISCHEMIA Trial - Management Algorithm for patients with Stable Angina

Stress Test -> ? +moderate or severe
ISCHEMIA Trial - ... moderate or severe ischemia ... on results of ISCHEMIA ... /alenghat/ #ISCHEMIA ... #Cardiology #EBM
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 ... ventricular hypertrophy, pericardial ... #diagnosis #management ... #cardiology
PIRATES Mnemonic for the Causes of Atrial Fibrillation

P - Pulmonary Disease, PE
I - Ischemic, Idiopathic
R -
the Causes of Atrial ... Disease, PE I - Ischemic ... #Fibrillation #AFib ... #Differential #Diagnosis ... #Cardiology
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia

If the patient is unconscious, signs of cardiac
Intraoperative Cardiac Ischaemia ... signs of cardiac ischaemia ... factors for cardiac ischaemia ... possible. ❺ If ischaemia ... #Cardiac #Ischemia
EKG in Acute Pulmonary Embolism
The sensitivity and specificity for EKG findings in acute PE are low.
EKG
Arrhythmia* (e.g., A-Fib ... also a result of atrial ... ECG leads) RV Ischemia ... Embolism #AcutePE #diagnosis ... #cardiology #electrocardiogram
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
Infarction  Ischemic ... Obtain femoral arterial ... flow in all major epicardial ... DCSI #Initiative #Management ... #Cardiology
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
predictor of recurrent ischemic ... Subepicardial atrial ... injury from pericardial ... : Differential diagnosis ... #differential #cardiology
Anticoagulant Therapy after PCI (patients with AFib)
Dual-Therapy Preferred:
 • Triple therapy = increased bleeding
(patients with AFib ... risk outweighed ischemic ... patients in clinical trials ... #pharmacology #management ... #cardiology
Rhabdomyolysis - Differential Diagnosis Framework and Management Summary

Causes of Rhabdomyolysis:
 • Trauma:
	- Immobilization
	- Crush injury
	- Compartment
- Differential Diagnosis ... Framework and Management ... Features: • Triad ... Tachycardia - N/V - Abdominal ... perfusion → renal ischemia