14 results
Atrial Fibrillation Overview

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

1. Why?
Cardiac:
• Valvular heart disease
•
Atrial Fibrillation ... Cardiac: • Valvular ... Decompensated HF ... Noncardiac: • Pulmonary ... Cardiology #Management
Digoxin effect on Electrocardiogram (EKG)
Digoxin is a cardiac glycoside from the foxglove leaf
Mechanism
 - Inhibits Na-K
Digoxin is a cardiac ... fibrillation and ... atrial flutter ... #Cardiology #Digitalis ... #ECG
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
with caution in pulmonary ... disease or CHF) ... fibrillation or ... disease or CHF) ... Treatment #management #cardiology
Atrial Fibrillation (A-Fib) Summary

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

Why?
Cardiac:
	• Valvular heart
Atrial Fibrillation ... Cardiac: • Valvular ... Decompensated HF ... Noncardiac: • Pulmonary ... diagnosis #management #cardiology
On the left a patient with CHF. 
There is an increase in heart size compared to
redistribution of pulmonary ... supine film the cardiac ... magnification and high position ... #Clinical #Radiology ... #CXR #CHF #Exacerbation
Palpitations - Differential Diagnosis Framework

What?
• It is an unpleasant awareness or sensation that the heart is
exam • 12-lead ECG ... fibrillation/flutter ... Nonarrhythmic Cardiac ... Pheochromocytoma • Pulmonary ... #Palpitations #Cardiology
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Libman Sacks) • Atrial ... Blood cultures are positive ... Cerebral > Splenic, pulmonary ... nodes • Roth’s spots ... diagnosis #management #cardiology
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
with presence of pulmonary ... ECG is vital while ... Cardiac cath if ... algorithm #management #cardiology ... #heartfailure #chf
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
Libman Sacks) • Atrial ... cases Culture Positive ... Cerebral > Splenic, Pulmonary ... nodes • Roth’s spots ... Differential #Diagnosis #cardiology
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
murmur 3/6) - Pulmonary ... exam Determine Cardiac ... disease b) CHF ... one post op Cardiology ... postoperative cardiac