10 results
Atrial Fibrillation - Diagnosis, Causes, Presentations
Causes (PIRATES):
 - Pulmonary embolism 
 - Ischemia (cardiac) 
 -
Atrial Fibrillation ... (PIRATES): - Pulmonary ... embolism - Ischemia ... #Fibrillation #AFib ... PIRATES #Emergency #Cardiology
PIRATES Mnemonic for the Causes of Atrial Fibrillation

P - Pulmonary Disease, PE
I - Ischemic, Idiopathic
R -
Mnemonic for the Causes ... P - Pulmonary ... Disease, PE I - Ischemic ... #Fibrillation #AFib ... Differential #Diagnosis #Cardiology
Non-lschemic Causes of Cardiogenic Shock:

Beta-Blockers, Calcium Channel Blockers, Digoxin 

Myocarditis 

Cardiomyopathies (sarcoidosis, amyloidosis, Takatsubo, 
hemochromatosis) 

Valvular
Non-lschemic Causes ... Supraventricular/Atrial ... Tamponade, pulmonary ... #Nonlschemic #Causes ... Differential #Diagnosis #Cardiology
EKG in Acute Pulmonary Embolism
The sensitivity and specificity for EKG findings in acute PE are low.
EKG
evaluating for other causes ... Arrhythmia* (e.g., A-Fib ... also a result of atrial ... ECG leads) RV Ischemia ... AcutePE #diagnosis #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 ... Noncardiac: • Pulmonary ... (< 5% pts with afibb ... #Fibrillation #AFib ... diagnosis #management #cardiology
Noncardiogenic Pulmonary Edema - Differential Diagnosis Framework

NCPE Pathophysiology:
Noncardiogenic pulmonary edema occurs because of excessive pulmonary capillary
Noncardiogenic Pulmonary ... Causes include: ... • Negative for ischemic ... changes CXR: ... differential #diagnosis #cardiology
On a chest film only the outer contours of the heart are seen.
In many cases we
blood from the pulmonary ... just below the pulmonary ... Enlargement will cause ... #Anatomy #Radiology ... #CXR #Atrium #Ventricle
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Libman Sacks) • Atrial ... Cerebral > Splenic, pulmonary ... Septic Emboli Cause ... Early embolic/ischemic ... diagnosis #management #cardiology
Cardiac LV Thrombus on Echocardiogram Short-Axis View (PSAX)
48 year old woman in ICU for acute ischemic
LV Thrombus on Echocardiogram ... Short-Axis View (PSAX ... ICU for acute ischemic ... are not POCUS: serial ... #cardiology
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
Libman Sacks) • Atrial ... Cerebral > Splenic, Pulmonary ... Septic emboli cause ... Early embolic/ischemic ... Differential #Diagnosis #cardiology