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diagnosis algorithm endocarditis fibrillation stroke afib anesthesia anesthesiology angina cardiac checklist chestpain differential evaluation hyperkalemia indications infectiousdiseases intraoperative ischaemia k
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 ... #EBM #Trial
Atrial Fibrillation Overview Symptoms: Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope. 1. Why? Cardiac: • Valvular heart disease •
Atrial Fibrillation ... Decompensated HF • New ischemia ... Anticoagulation ... #Atrial #Fibrillation ... #Cardiology #Management
Indications for tPA in Stroke: • Clinical diagnosis of ischemic stroke • Measurable neurologic deficit •
Clinical diagnosis of ischemic ... incomplete list): • Ischemic ... • Therapeutic anticoagulation ... #tPA #Stroke #cva ... #management #neurology
Restarting Anticoagulation after TIA or Acute Ischemic Stroke • TIA → Consider (re-) starting a NOAC
Restarting Anticoagulation ... after TIA or Acute Ischemic ... #Restarting #Anticoagulation ... #TIA #Stroke #CVA ... #neurology #management
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
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 ... unknown duration • Anticoagulation ... β-blocker or CCB Anticoagulation ... AFib #diagnosis #management ... #cardiology
Anticoagulant Therapy after PCI (patients with AFib) Dual-Therapy Preferred: • Triple therapy = increased bleeding
risk outweighed ischemic ... patients in clinical trials ... Triple #therapy #anticoagulation ... #pharmacology #management ... #cardiology
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
Libman Sacks) • Atrial ... Early embolic/ischemic ... cause + Systemic anticoagulation ... Endocarditis #diagnosis #management ... #cardiology
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
history of: a) Ischemic ... b) CHF c) CVA ... Anticoagulation ... one post op Cardiology ... medical and surgical management
Hyperkalemia - Diagnosis and Management - GrepMed Handbook S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
/crush injury, ischemia ... - ↓ Effective arterial ... Calcium 2-3g IV Ca-gluconate ... ileus/obstruction (ischemia ... Treatment #potassium #nephrology
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