13 results
Algorithm for the management of atrial fibrillation with rapid ventricular response

- Dr. Tom Fadial @thame 

#Atrial
of atrial fibrillation ... #fibrillation #AFib ... #RVR #Algorithm ... #management #Rapid ... #Emergency #Cardiology
Newly Diagnosed Atrial Fibrillation - Management Algorithm

 • Rate Control
 • Rhythm Control
 • Anticoagulation

Matthew Ho,
Newly Diagnosed Atrial ... Fibrillation - Management ... MatthewHoMD #Atrial ... #Fibrillation #RVR ... #cardiology #AFib
Bradycardia - Differential Diagnosis Framework and Management
Narrow Complex Bradycardia:
 • Regular: Sinus Bradycardia, AFib w/ AV
Framework and Management ... w/ AV Block, Atrial ... Sinus Arrest, AFib ... epinephrine 4) Page Cardiology ... #cardiology #criticalcare
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
EKG in Acute Pulmonary Embolism
The sensitivity and specificity for EKG findings in acute PE are low.
EKG
EKG in Acute Pulmonary ... common finding) • Atrial ... Arrhythmia* (e.g., A-Fib ... also a result of atrial ... AcutePE #diagnosis #cardiology
Medical Management of Acute RV Failure
 • Evaluate and Treat Etiology of RV Failure [e.g. Acute
Medical Management ... of Acute RV Failure ... , Pulmonary Embolism ... rightventricular #cardiology ... #management #treatment
Atrial Fibrillation (A-Fib) Summary

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

Why?
Cardiac:
	• Valvular heart
Noncardiac: • Pulmonary ... (< 5% pts with afibb ... #Fibrillation #AFib ... #diagnosis #management ... #cardiology
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Treatment of Stable ... with caution in pulmonary ... with caution in pulmonary ... #Tachycardia #Treatment ... #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 ... dCHF #Diastolic #Treatment
Severe Asthma Exacerbation
Signs of a Severe Asthma Exacerbation:
 • Vitals: ↑HR ↑RR ↓SpO2
 • High work
• Vitals: ↑HR ↑RR ... : BiPAP, Brief trial ... #Exacerbation #CriticalCare ... #pulmonary #ventilation ... #mechanical #management