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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
Causes of Chronic Dyspnea - Differential Diagnosis Algorithm
Pericardial
 • Effusion
 • Cardiac Tamponade*
 • Constriction
Myocardial
 •
- Differential Diagnosis ... • Effusion • Cardiac ... Arrhythmia • Atrial ... Fibrillation ... Interstitium • ILD • CHF
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 ... AFib #diagnosis
Cavities frequently arise within a mass or an area of consolidation as a result of necrosis.
We
without associated pulmonary ... usually contain air ... fluid or solid material ... #Radiology #CTChest ... Cyst #Emphysema #Comparison
Palpitations - Differential Diagnosis Framework

What?
• It is an unpleasant awareness or sensation that the heart is
- Differential Diagnosis ... Palpitations Diagnosis ... fibrillation/flutter ... Pheochromocytoma • Pulmonary ... #Palpitations #Cardiology
Fluid Responsiveness and Fluid Tolerance Testing - OnePager Summary
Fluid resuscitation can be beneficial when required or
Pulmonary Artery ... Point of Care Ultrasound ... • PULMONARY A ... Tolerance #testing #diagnosis ... #criticalcare #comparison
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 ... postoperative cardiac ... stratification #diagnosis
TRALI Diagnostic Criteria
TRALI type 1 - Patients who have no risk factors for ARDS and meet
< 90% on room air ... evidence of bilateral pulmonary ... chest CT, or ultrasound ... evidence of left atrial ... #Criteria #pulmonary