13 results
Atrial Fibrillation (A-Fib) Summary

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

Why?
Cardiac:
	• Valvular heart
thrombus • Digoxin ... TEE to exclude thrombus ... preferred • Direct thrombin ... AFib #diagnosis #management ... #cardiology
Right Atrial Thrombus on Echocardiogram (S4C)

Yet another right heart thrombus

Ivan Stankovic, MD, PhD @Ivan_Echocardio

#Right #Atrial #Thrombus
Right Atrial Thrombus ... Echocardiogram (S4C ... #Atrial #Thrombus ... Echocardiogram #S4C ... POCUS #clinical #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 ... Palpitations, light-headedness ... Anticoagulation ... #Atrial #Fibrillation ... #Cardiology #Management
Coronary Artery Embolism - Etiology and Scoring
Etiology:
 • Direct: Clot (LV thrombus, LAA Thrombus), Valve (Vegetation,
• Paradoxical: Right ... Venous System/Right ... non-culprit vessels • Atrial ... Embolism #diagnosis #differential ... scoring #criteria #cardiology
Cardiac Valve Replacement - Anticoagulation INR Targets and Antiplatelet by Valve Type

Bioprosthetic valves require at least
Replacement - Anticoagulation ... monotherapy (2017 AHA/ACC ... patients with chronic atrial ... valve (2017 AHA/ACC ... #Management #Cardiology
Chronic Thromboembolic Pulmonary Hypertension (CTEPH) and Pulmonary Thromboendarterectomy
Chronic Thromboembolic Pulmonary Hypertension
Definition: mean pulmonary-artery pressure > 25mmHg
• Decreasing right ... Pulmonary Vessels Thrombi ... Pulmonary Vessels Thrombi ... Rarely performed Anticoagulation ... Thromboendarterectomy #diagnosis #management
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Libman Sacks) • Atrial ... Marantic (NTBE) Differential ... cause + Systemic anticoagulation ... • Left sided > Right ... Endocarditis #diagnosis #management
Negative Contrast Effect in Right Atrium - Differential Diagnosis
1. Small secundum ASD or PFO with left
Contrast Effect in Right ... Atrium - Differential ... #Atrium #RA #Differential ... #Diagnosis #cardiology ... echocardiogram #s4c
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
Differential Diagnosis ... LVEDd > 6.0 cm, LV thrombus ... suggest prophylactic anticoagulation ... Serial TTE and close ... #cardiology #treatment
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Anticoagulation ... indication of AC ... one post op Cardiology ... CARP, DECREASE V trials ... medical and surgical management