12 results
Stages in the development of HF and recommended therapy by stage. ACEI indicates angiotensin-converting enzyme inhibitor;
inhibitor; AF, atrial ... ejection fraction; HFrEF ... #CHF #Congestive ... ACCAHA #Algorithm #Management ... #Cardiology
Heart Failure with Preserved Ejection Fraction: Management Principles

General Therapeutic Principles:
Reduce the congestive state 
 - Caution
Ejection Fraction: Management ... relevant Maintain atrial ... sinus rhythm in atrial ... hypertension, pulmonary ... #Cardiology #HFpEF
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
with caution in pulmonary ... disease or CHF) ... disease or CHF) ... Tachycardia #Treatment #management ... #cardiology #algorithm
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
(no B-lines on ultrasound ... antiarrhythmics - Ischemic cardiomyopathy ... #Checklist #CHF ... #HeartFailure #Cardiology ... #Management
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 ... Noncardiac: • Pulmonary ... #Fibrillation #Cardiology ... #Management #Algorithm
TOPCAT - Spironolactone for Heart Failure with Preserved Ejection Fraction

N Engl J Med 2014; 370:1383-1392 https://www.nejm.org/doi/10.1056/NEJMoa1313731

CONCLUSIONS:
hospitalization for the management ... Spironolactone #HFpEF ... #dCHF #Cardiology ... VisualAbstract #Trial
Right-Sided Heart Failure - Differential Diagnosis Algorithm
Cardiac Causes - Rule out Left-Sided Heart Failure (Most Common):
• Restrictive Cardiomyopathy ... Arterial Hypertension ... • Pulmonary ... Veno-Occlusive Disease #RHF ... #HeartFailure #Cardiology
Differentiating PAH from PVH - Echocardiography
Pulmonary Artery Hypertension (PAH):
 • RV size - Enlarged
 • LA
Echocardiography Pulmonary ... Sanjiv Shah @HFpEF ... Echocardiogram #comparison ... #diagnosis #cardiology ... #pulmonary #arterial
Atrial Fibrillation (A-Fib) Summary

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

Why?
Cardiac:
	• Valvular heart
Atrial Fibrillation ... Decompensated HF ... Noncardiac: • Pulmonary ... AFib #diagnosis #management ... #cardiology
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
Peripartum Cardiomyopathy ... • Pulmonary embolus ... May have typical HF ... Serial TTE and close ... #cardiology #treatment