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Atrial Fibrillation - Rate Control and Rhythm Control - Management

Infographic by Dr. Pouria Rezapour @prezapour 

#Atrial
Atrial Fibrillation ... @prezapour #Atrial ... #Fibrillation #AFib ... Cardioversion #Emergency #Cardiology ... #Indications #Management
Atrial Fibrillation (A-Fib) Summary

Symptoms:
• Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope.

Why?
Cardiac:
	• Valvular heart
Noncardiac: • Pulmonary ... (< 5% pts with afibb ... Absolute warfarin indications ... #diagnosis #management ... #cardiology
Atrial Fibrillation RVR - Medications
Diltiazem
 • Preferred in patients with chronic lung such as Asthma and
Atrial Fibrillation ... chronic lung such as Asthma ... #AFib #RVR #Medications ... #management #treatment ... #comparison #table
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Treatment of Stable ... with caution in pulmonary ... with caution in pulmonary ... Tachycardia #Treatment #management ... #cardiology #algorithm
Table of Common Rate Control Agents via AHA/ACC/HRS Guidelines #Management #Pharm #EM #IM #Cardiology #Afib #Common
HRS Guidelines #Management ... Pharm #EM #IM #Cardiology ... #Afib #Common # ... Medications #RateControl ... #Table
Gastroesophageal Reflux Disease (GERD) - Summary

GERD: Diagnosis
• Heartburn (substernal burning sensation) and acid regurgitation
• Chest pain
Extraesophageal
Laryngeal and pulmonary ... Laryngitis • Asthma ... Desire to stop medication ... • Intolerable medication ... Disease #diagnosis #management
Palpitations - Differential Diagnosis Framework

What?
• It is an unpleasant awareness or sensation that the heart is
PALPITATIONS: Medications ... Pheochromocytoma • Pulmonary ... brain flow (VT/Vfib ... /Afib/WPW) • Loss ... #Palpitations #Cardiology
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
- Allergies to medications ... murmur 3/6) - Pulmonary ... days before Pulmonary ... one post op Cardiology ... medical and surgical management
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
cardiomyopathy • Pulmonary ... Management during ... Delivery • Stable ... Serial TTE and close ... #cardiology #treatment
Fleischner Society recommendations for follow-up of nodules
Previous chest radiographs should be reviewed to determine if the
lesion has been stable ... Management of indeterminate ... Low probability: Serial ... #Management #Radiology ... Society #Followup #Pulmonary