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Newly diagnosed Atrial Fibrillation - Cardioversion and Anticoagulation Algorithm

Matthew Ho, MD PhD @MatthewHoMD

#Atrial #Fibrillation #Cardioversion #Anticoagulation
Newly diagnosed ... Atrial Fibrillation ... Anticoagulation Algorithm ... Anticoagulation #Algorithm ... #management #cardiology
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
Newly Diagnosed Atrial Fibrillation - Management Algorithm

 • Rate Control
 • Rhythm Control
 • Anticoagulation

Matthew Ho,
Newly Diagnosed ... Atrial Fibrillation ... - Management Algorithm ... #RVR #Management ... #Algorithm #cardiology
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
with caution in pulmonary ... Probable atrial fibrillation ... with caution in pulmonary ... Tachycardia #Treatment #management ... #cardiology #algorithm
Atrial Fibrillation (A-Fib) Summary

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

Why?
Cardiac:
	• Valvular heart
Atrial Fibrillation ... Noncardiac: • Pulmonary ... factors Atrial Fibrillation ... #AFib #diagnosis ... #management #cardiology
Causes of Ischemic Stroke - Differential Diagnosis Algorithm
Thrombosis - Atherosclerosis, Arterial Dissection, Fibromuscular Dysplasia
 - Large
- Differential Diagnosis ... Algorithm Thrombosis ... • Atrial fibrillation ... infarction • Pulmonary ... #Stroke #CVA #Neurology
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
simply a clinical diagnosis ... with presence of pulmonary ... #algorithm #management ... #cardiology #treatment ... icu #clinical #pharmacology
Diuretics and Agents Regulating Renal Excretion

Carbonic Anhydrase Inhibitors (Acetazolamide, Dichlorphenamide)
 • Glaucoma
 • Epilepsy
 • Altitude
disequilibrium syndrome • Diagnosis ... irrigation • Management ... Torsemide) • Acute pulmonary ... Excretion #Diuresis #Nephrology ... #Pharmacology #
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 ... one post op Cardiology ... medical and surgical management ... stratification #diagnosis