13 results
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
Multifocal Atrial Tachycardia (MAT)
• At least 3 different P wave morphologies: 
• Rate 100-180
• Irregular 
Etiology
• Hypoxia • Pulmonary ... hypertension Management ... Tachycardia #MAT #Cardiology ... #Diagnosis #ECG ... #EKG #Management
ISCHEMIA Trial - Management Algorithm for patients with Stable Angina

Stress Test -> ? +moderate or severe
Management Algorithm ... evaluation or management ... Angina #ChestPain #Diagnosis ... #Management #Algorithm ... #Cardiology #EBM
Heart Failure with Preserved Ejection Fraction: Management Principles

General Therapeutic Principles:
Reduce the congestive state 
 - Caution
Ejection Fraction: Management ... hypertension, pulmonary ... ineffective) #Management ... #Cardiology #HFpEF ... #dCHF #Diastolic
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
with caution in pulmonary ... disease or CHF) ... with caution in pulmonary ... Tachycardia #Treatment #management ... #cardiology #algorithm
ProCESS Investigator - A Randomized Trial of Protocol-Based Care for Early Septic Shock

N Engl J Med
- A Randomized Trial ... septic shock was diagnosed ... Protocol #Sepsis #VisualAbstract ... #Threshold #EBM ... #Management
Adult-Onset Still's Disease
Clinical triad: Fever, Arthralgia/arthritis, Skin rash ± odynophagia
+ Biological inflammation: Increased neutrophils, Hyperferritinemia, decreased
Disease Clinical triad ... Differential Diaqnoses ... Coxsackie, CMV, EBV ... hepatitis • Pulmonary ... #management #treatment
Posterior Elbow Dislocation
The elbow is the second most commonly dislocated major joint in adults and the
injury • Terrible triad ... fracture • ED Management ... MH/CCF/CWRU EM ... #XRay #Diagnosis ... #Management #Orthopedics
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 ... Fibrillation #AFib #diagnosis ... #management #cardiology
Preoperative Risk Evaluation

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