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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 ... exercise intolerance, chest ... pain, near-syncope ... Noncardiac: • Pulmonary ... #Management #Algorithm
Chest Pain - Differential Diagnosis Algorithm
Cardiovascular Causes:
 - Outflow Obstruction
     • Aortic
Chest Pain - Differential ... Diagnosis Algorithm ... pain often not ... Radiculopathy #ChestPain ... #Noncardiac #Cardiology
Chest Pain - Diagnosis and Workup Algorithm

History and Exam
Acute life-threatening causes:
 • Acute myocardial infarction
 •
Chest Pain - Diagnosis ... and Workup Algorithm ... Pneumothorax • Pulmonary ... ultrasound • CXR ... , PT. aPTT • Serial
Chest Pain Diagnosis and Management Algorithm
STEMI:
 - Hx: Pressure like CP, Radiation to arm/jaw, CAD risk
Chest Pain Diagnosis ... and Management ... Algorithm STEMI: ... Limb ischemia Pulmonary ... asthma, CF, PCP #ChestPain
On a chest film only the outer contours of the heart are seen.
In many cases we
On a chest film ... blood from the pulmonary ... right and left main ... #Anatomy #Radiology ... #CXR #Atrium #Ventricle
Atrial Fibrillation (A-Fib) Summary

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

Why?
Cardiac:
	• Valvular heart
exercise intolerance, chest ... pain, near-syncope ... Noncardiac: • Pulmonary ... AFib #diagnosis #management ... #cardiology
Adult ACLS - Cardiac Arrest Algorithm - AHA 2020
CPR Quality:
 • Push hard (at least 2
Cardiac Arrest Algorithm ... - AHA 2020 CPR ... , Thrombosis, (pulmonary ... cardiacarrest #Algorithm ... #AHA2020 #management
Adult Cardiac Arrest - ACLS Circular Algorithm - AHA 2020
CPR Quality:
 • Push hard (at least
ACLS Circular Algorithm ... - AHA 2020 CPR ... , Thrombosis, (pulmonary ... cardiacarrest #Algorithm ... #AHA2020 #management
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
murmur 3/6) - Pulmonary ... event, follow ACC algorithm ... days before Pulmonary ... change CV risk Chest ... medical and surgical management