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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
Bradycardia - Differential Diagnosis Framework and Management
Narrow Complex Bradycardia:
 • Regular: Sinus Bradycardia, AFib w/ AV
Framework and Management ... w/ AV Block, Atrial ... SVT WI Wide QRS, Ventricular ... epinephrine 4) Page Cardiology ... #cardiology #criticalcare
Atrial Fibrillation (A-Fib) Summary

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

Why?
Cardiac:
	• Valvular heart
Testing: • TSH level ... (< 5% pts with afibb ... thrombus • Digoxin level ... #diagnosis #management ... #cardiology
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
Approach to Selecting Respiratory Support:
-The role of noninvasive respiratory support is generally to reduce the patient's
-Serial evaluation ... patient's diagnosis (e.g ... -BiPAP should never ... #Management #CriticalCare ... RespiratorySupport #Selection #Algorithm
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
event, follow ACC algorithm ... indicated • EKG ... Obtain EKG if: ... one post op Cardiology ... medical and surgical management