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diagnosis atrial clinical differential echocardiogram fibrillation a4c causes classification definition management nonvalvular palpitations rheumatic smoke tee transesophageal valvular
Valvular vs Non-Valvular Atrial Fibrillation - Classification Valvular: • Presence of moderate-to-severe mitral stenosis or artificial (mechanical)
of moderate-to-severe ... mitral stenosis ... of moderate-to-severe ... mitral stenosis ... #Fibrillation #AFib
Causes of mitral stenosis Rheumatic heart disease - Most common cause worldwide. Commissural fusion, thick MV leaflets
Causes of mitral ... stenosis Rheumatic ... shortened chordae Severe ... myxoma)/ball valve thrombus ... #differential #cardiology
Severe Mitral Stenosis on Transesophageal Echocardiogram Spontaneous contrast 'smoke' in the left atrium AF + stasis = huge
Severe Mitral Stenosis ... = huge risk of thrombus ... @MedCrisis #Mitral ... #Stenosis #TEE ... Echocardiogram #Clinical #Cardiology
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 Atrial Fibrillation (A-Fib) Summary Symptoms: • Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope. Why? Cardiac: • Valvular heart
(< 5% pts with afibb ... • Moderate or severe ... mitral stenosis ... #Fibrillation #AFib ... diagnosis #management #cardiology
Rheumatic Heart Disease - Mitral Stenosis on Echocardiogram (1) Thickened and fibrosed MV leaflets - rheumatic etiology
Heart Disease - Mitral ... etiology - with severe ... significant TR with severe ... #clinical #cardiology ... #a4c #thrombus
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 Palpitations - Differential Diagnosis Framework What? • It is an unpleasant awareness or sensation that the heart is
) • Severe mitral ... regurgitation • Severe ... dizziness: Possible severe ... /Afib/WPW) • Loss ... heart disease • Severe
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