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Atrial Fibrillation Overview

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

1. Why?
Cardiac:
• Valvular heart disease
•
Atrial Fibrillation ... light-headedness, dizziness ... Decompensated HF ... #Fibrillation #Cardiology ... #Management #Algorithm
Atrial Fibrillation (A-Fib) Summary

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

Why?
Cardiac:
	• Valvular heart
light-headedness, dizziness ... Decompensated HF ... (< 5% pts with afibb ... #diagnosis #management ... #cardiology
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
or CHF) - Treat ... underlying cause ... underlying cause ... Tachycardia #Treatment #management ... #cardiology #algorithm
Stages in the development of HF and recommended therapy by stage. ACEI indicates angiotensin-converting enzyme inhibitor;
inhibitor; AF, atrial ... coronary artery disease ... guideline-directed medical ... #CHF #Congestive ... #Management #Cardiology
Palpitations - Differential Diagnosis Framework

What?
• It is an unpleasant awareness or sensation that the heart is
- Differential Diagnosis ... : • Focused medical ... Lightheadedness/dizziness ... /Afib/WPW) • Loss ... #Palpitations #Cardiology
Right-Sided Heart Failure - Differential Diagnosis Algorithm
Cardiac Causes - Rule out Left-Sided Heart Failure (Most Common):
- Differential Diagnosis ... Algorithm Cardiac ... #RHF #RightSided ... #HeartFailure #Cardiology ... #Algorithm #causes
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
exclude other causes ... May have typical HF ... deteriorating on medical ... Serial TTE and close ... #management #cardiology
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
b) CHF c) ... event, follow ACC algorithm ... one post op Cardiology ... and surgical management ... stratification #diagnosis
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
fatigue, altered mental ... the determined cause ... #algorithm #management ... #cardiology #treatment ... #heartfailure #chf