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Atrial Fibrillation - Rate Control and Rhythm Control - Management

Infographic by Dr. Pouria Rezapour @prezapour 

#Atrial
Atrial Fibrillation ... Rhythm Control - Management ... @prezapour #Atrial ... 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
Digoxin 101 - Pharmacology
Indications:

1) Tachyarrhythmias 
 • Atrial Fibrillation, Atrial Flutter, Supraventricular Tachycardias
 • ↑ Vagal
Pharmacology Indications ... Tachyarrhythmias • Atrial ... Fibrillation, Atrial ... symptoms despite GDMT ... #Pharmacology #cardiology
HFrEF: Guideline Directed Medical Therapy

"Must Be On"
 • ACEI, ARB, or ARNI AND select Beta Blockers
patients #hfref #management ... #medications #chf ... #cardiology #GDMT
Heart Failure (HFrEF) Treatment - GDMT for stage C 

For patients with Heart Failure with REDUCED
HFrEF) Treatment - GDMT ... getting patients on medication ... both of these medications ... #Pharmacology #Management ... Treatment #StageC #Cardiology
Guideline-Directed Medical Therapy (GDMT) in HFrEF and CKD

 • Class I pillars of HFrEF GDMT across
Medical Therapy (GDMT ... pillars of HFrEF GDMT ... Chronotropes • Medications ... #CKD #HFrEF #management ... #pharmacology #cardiology
Atrial Fibrillation (A-Fib) Summary

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

Why?
Cardiac:
	• Valvular heart
Atrial Fibrillation ... right and left atria ... Absolute warfarin indications ... AFib #diagnosis #management ... #cardiology
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
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