RVR - GrepMed

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285 results

Algorithm for the management of atrial fibrillation with rapid ventricular response

- Dr. Tom Fadial @thame

#Atrial

fibrillation #AFib #RVR

AFib with RVR on Point of Care Ultrasound (POCUS) - PLAX

POCUS showing us why this pt's

AFib with RVR on ... paroxysmal a-fib RVR ... eabramsMD #AFib #RVR

This is ATRIAL FIBRILLATION. Fibrillating right atria and rapid ventricular response.
Pulmonary vein isolation was performed and

ThoracicSurgery #RVR

Newly Diagnosed Atrial Fibrillation - Management Algorithm

• Rate Control
• Rhythm Control
• Anticoagulation

Matthew Ho,

#Fibrillation #RVR

Atrial Fibrillation and WPW - Pre-Excitation AFib
In pre-excitation + a-fib with RVR:
• All AV nodal

pre-excitation + a-fib with RVR

Massive Left Atrial Myxoma on Echocardiogram (TEE)
Pt admitted for SOB x 2 months with episode of

AF RVR in ER.

Atrial Fibrillation RVR - Medications
Diltiazem
• Preferred in patients with chronic lung such as Asthma and

Atrial Fibrillation RVR ... Fibrillation #AFib #RVR

Mechanisms of acute right ventricular dysfunction/failure (RVD/RVF) #rightventricle #rvfailure #rvdysfunction

dysfunction/failure (RVD ... /RVF) #rightventricle

Approach to ECGs
Check
- Age, gender, name
- 25mm/s; 10mm/mV
- 1mm = 40ms; 0.1 mV
Rate

big squares - RR ... AntLat MI, WPW, RVH ... WideQRS: RBBB (V1/V2 rsr ... qs; lat leads rsr ... - QTc < 1/2 RR

Right Heart Catheterization - Pulmonary Artery Pressures and Calculations
PULMONARY VASCULAR RESISTANCE = (meanPAP-PCWP) / CO
•

≤ 0.9 predicts RV ... 1.85 predicts RV ... correlates with RV ... 0.8 indicates RV ... 0.63 predicted RV

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