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Algorithm for the management of atrial fibrillation with rapid ventricular response

- Dr. Tom Fadial @thame 

#Atrial
Algorithm for the ... management of atrial ... fibrillation with rapid ventricular ... #fibrillation #AFib ... #Emergency #Cardiology
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
abberancy - N B Afib ... Distal AV block - ventricular ... #EKG #diagnosis ... #electrocardiogram ... #cardiology #differential
Atrial Fibrillation (A-Fib) Summary

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

Why?
Cardiac:
	• Valvular heart
Decompensated HF ... Testing: • TSH level ... thrombus • Digoxin level ... #diagnosis #management ... #cardiology
Stages in the development of HF and recommended therapy by stage. ACEI indicates angiotensin-converting enzyme inhibitor;
inhibitor; AF, atrial ... cardioverter-defibrillator; LV, left ventricular ... ; LVH, left ventricular ... Stages #ACCAHA #Algorithm ... #Management #Cardiology
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Control rate (e.g ... pulmonary disease or CHF ... pulmonary disease or CHF ... Tachycardia #Treatment #management ... #cardiology #algorithm
Summary of Heart Blocks
1st Degree Heart Block:
 • Prolonged PR >200ms (5 small squares).
 • Narrow
Brady Management ... P and QRS • Atrial ... Block infranodal level ... #electrocardiogram ... #ecg #cardiology
EKG Interpretation Cheat Sheet
1) Rate 
 - Regular - Count-Off 
 - Irregular - Count number
EKG Interpretation ... (e.g. ectopic atrial ... Waves/Fibrillary = afib ... #Electrocardiogram ... #cardiology #diagnosis
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Evaluation - EKG ... and/or digoxin level ... patient with right ventricular ... #Checklist #CHF ... #HeartFailure #Cardiology
Palpitations - Differential Diagnosis Framework

What?
• It is an unpleasant awareness or sensation that the heart is
supraventricular or ventricular ... tachycardia • Ventricular ... Electrolyte imbalance • Fever ... /Afib/WPW) • Loss ... #Palpitations #Cardiology
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
disease b) CHF ... event, follow ACC algorithm ... Obtain EKG if: ... one post op Cardiology ... medical and surgical management