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Atrial Fibrillation - Rate Control and Rhythm Control - Management

Infographic by Dr. Pouria Rezapour @prezapour 

#Atrial
Atrial Fibrillation ... @prezapour #Atrial ... #Fibrillation #AFib ... Cardioversion #Emergency #Cardiology ... #Indications #Management
Atrial Fibrillation - Management Principles

1) TREAT ANY IDENTIFIED PRECIPTANT(S) 
2) RATE OR RHYTHM CONTROL 
3) ANTICOAGULATION
Atrial Fibrillation ... - Management Principles ... #Fibrillation #Management ... #Emergency #Cardiology ... Disposition #Admission #Indications
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 ... Absolute warfarin indications ... #Fibrillation #AFib ... #diagnosis #management ... #cardiology
Table of Common Rate Control Agents via AHA/ACC/HRS Guidelines #Management #Pharm #EM #IM #Cardiology #Afib #Common
HRS Guidelines #Management ... Pharm #EM #IM #Cardiology ... #Afib #Common # ... Medications #RateControl
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
ï‚· Ischemic Symptoms
ï‚· EKG and/or biomarker evidence of AMI
Obtain femoral arterial ... visualization with use of ultrasound ... Index < 2.2 AND anatomy ... DCSI #Initiative #Management ... #Cardiology
Pacemaker Indications
Class I
 • Symptomatic sinus node dysfunction
 • 3° AV or type 2 2° AV
Pacemaker Indications ... • Permanent a-fib ... Pacemaker #PPM #indications ... #cardiology #management
Palpitations - Differential Diagnosis Framework

What?
• It is an unpleasant awareness or sensation that the heart is
flutter, or atrial ... PALPITATIONS: Medications ... brain flow (VT/Vfib ... /Afib/WPW) • Loss ... #Palpitations #Cardiology
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
- Allergies to medications ... the type of and indication ... one post op Cardiology ... CARP, DECREASE V trials ... medical and surgical management
HFpEF and CAD Management Algorithm
1. Consider revascularization based on current guidelines for CAD and HFpEF*
2. Statins:
HFpEF and CAD Management ... controlled by above medications ... Optimal BP management ... #HFpEF #CAD #Management ... #Algorithm #cardiology