10 results
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
Stages in the development of HF and recommended therapy by stage. ACEI indicates angiotensin-converting enzyme inhibitor;
inhibitor; AF, atrial ... heart failure; HFpEF ... #CHF #Congestive ... ACCAHA #Algorithm #Management ... #Cardiology
ISCHEMIA Trial - Management Algorithm for patients with Stable Angina

Stress Test -> ? +moderate or severe
ISCHEMIA Trial - ... with the ISCHEMIA trial ... results of ISCHEMIA trial ... #Algorithm #Cardiology ... #EBM #Trial
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 ... #EBM #VisualAbstract ... #Trial
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
convert - Possible atrial ... flutter, ectopic atrial ... Rhythm: • Probable atrial ... fibrillation or possible atrial ... #cardiology #algorithm
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
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 ... identify left atrial ... test for DM Atrial ... #cardiology
Posterior Elbow Dislocation
The elbow is the second most commonly dislocated major joint in adults and the
injury • Terrible triad ... fracture • ED Management ... recommendations MH/CCF ... /CWRU EM Res @MetroHealth_EM ... XRay #Diagnosis #Management
Purpose: We sought to develop a patient decision aid to promote shared decision-making for patients who
randomized controlled trial ... #Management #PatientInfo ... #Cardiology #EM
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
murmur 3/6) - Pulmonary ... disease b) CHF ... one post op Cardiology ... CARP, DECREASE V trials ... medical and surgical management