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management diagnosis cardiology fibrillation afib cancer cardiomyopathy cteph doac endocarditis evaluation hematology hypertension malignancy oncology perioperative peripartum phtn preop preoperative
Atrial Fibrillation Overview Symptoms: Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope. 1. Why? Cardiac: • Valvular heart disease •
Atrial Fibrillation ... Noncardiac: • Pulmonary ... Anticoagulation ... #Atrial #Fibrillation ... Cardiology #Management #Algorithm
Patient risk stratification algorithm for the treatment of cancer-associated thrombosis. Currently, edoxaban and rivaroxaban are the only
stratification algorithm ... randomized controlled trial ... for appropriate dosing ... thrombosis; PE = pulmonary ... #Anticoagulation
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 Atrial Fibrillation (A-Fib) Summary Symptoms: • Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope. Why? Cardiac: • Valvular heart
(A-Fib) Summary ... Noncardiac: • Pulmonary ... unknown duration • Anticoagulation ... exclude thrombus • Anticoagulation ... β-blocker or CCB Anticoagulation
Chronic Thromboembolic Pulmonary Hypertension (CTEPH) and Pulmonary Thromboendarterectomy Chronic Thromboembolic Pulmonary Hypertension Definition: mean pulmonary-artery pressure > 25mmHg
Thromboembolic Pulmonary ... thromboembolic material ... Started → Patient Cooling ... Rarely performed Anticoagulation ... antagonist • BENEFiT Trial
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
Endocarditis Summary ... Libman Sacks) • Atrial ... Cerebral > Splenic, pulmonary ... cause + Systemic anticoagulation
Peripartum Cardiomyopathy - Summary 1. Definition • Towards the end of pregnancy to 5 months postpartum
Cardiomyopathy - Summary ... cardiomyopathy • Pulmonary ... suggest prophylactic anticoagulation ... Serial TTE and close
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
murmur 3/6) - Pulmonary ... event, follow ACC algorithm ... Anticoagulation ... days before Pulmonary ... CARP, DECREASE V trials
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