31 results
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Treatment of Stable ... with caution in pulmonary ... disease or CHF) ... disease or CHF) ... #management #cardiology
Heart Failure with Preserved Ejection Fraction: Management Principles

General Therapeutic Principles:
Reduce the congestive state 
 - Caution
Ejection Fraction: Management ... sinus rhythm in atrial ... hypertension, pulmonary ... #Cardiology #HFpEF ... #Treatment #HeartFailure
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
Multifocal Atrial Tachycardia (MAT)
• At least 3 different P wave morphologies: 
• Rate 100-180
• Irregular 
Etiology
Multifocal Atrial ... • Hypoxia • Pulmonary ... • Oxygen • Treatment ... #Multifocal #Atrial ... Tachycardia #MAT #Cardiology
Causes of Chronic Dyspnea - Differential Diagnosis Algorithm
Pericardial
 • Effusion
 • Cardiac Tamponade*
 • Constriction
Myocardial
 •
Artery Disease • Stable ... Arrhythmia • Atrial ... Thickening/Masses Chest ... Interstitium • ILD • CHF ... Vessels • Pulmonary
Gastroesophageal Reflux Disease (GERD) - Summary

GERD: Diagnosis
• Heartburn (substernal burning sensation) and acid regurgitation
• Chest pain
Extraesophageal
regurgitation • Chest ... Laryngeal and pulmonary ... Incomplete/relief/treatment ... PPI failure + negative ... Disease #diagnosis #management
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:
ejection fraction, treatment ... hospitalization for the management ... Spironolactone #HFpEF #dCHF ... #Cardiology #EBM ... VisualAbstract #Trial
Atrial Fibrillation RVR - Medications
Diltiazem
 • Preferred in patients with chronic lung such as Asthma and
Atrial Fibrillation ... decompensated CHF ... #Medications #management ... #treatment #comparison ... #table
Chronic Thromboembolic Pulmonary Hypertension (CTEPH) and Pulmonary Thromboendarterectomy
Chronic Thromboembolic Pulmonary Hypertension
Definition: mean pulmonary-artery pressure > 25mmHg
not specific • Chest ... thromboembolic material ... Bypass Other Treatment ... antagonist • BENEFiT Trial ... Thromboendarterectomy #diagnosis #management
Atrial Fibrillation (A-Fib) Summary

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

Why?
Cardiac:
	• Valvular heart
exercise intolerance, chest ... Decompensated HF ... Noncardiac: • Pulmonary ... AFib #diagnosis #management ... #cardiology