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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
Anatomical Differential Diagnosis for Arrhythmias
 • SA node: Sinus bradycardia, Sick Sinus Syndrome (SSS)
 • AV
bradycardia, Sick Sinus Syndrome ... tachycardia • Atria ... : Premature Atrial ... Differential #Diagnosis #Causes ... #cardiology
Causes of Palpitations
 • ARRHYTHMiA 
 • SINUS ARRYTHMIA 
 • ATRIAL FIBRILLATION 
 • ATRIAL
Causes of Palpitations ... ARRYTHMIA • ATRIAL ... PARKINSON WHITE SYNDROME ... #Palpitations #Causes ... Differential #Diagnosis #Cardiology
Atrial Fibrillation Overview

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

1. Why?
Cardiac:
• Valvular heart disease
•
Atrial Fibrillation ... intolerance, chest pain, near-syncope ... Anticoagulation #Atrial ... #Fibrillation #Cardiology ... #Management #Algorithm
Flecainide Toxicity on ECG

70 year old patient with chronic atrial fibrillation on an antiarrhythmic presented with
Toxicity on ECG 70 year ... patient with chronic atrial ... presented with nausea ... Electrocardiogram #Cardiology
ISCHEMIA Trial - Management Algorithm for patients with Stable Angina

Stress Test -> ? +moderate or severe
Management Algorithm ... acute coronary syndrome ... evaluation or management ... ChestPain #Diagnosis #Management ... #Algorithm #Cardiology
Intern Pocket Cards - Pre-Rounding Guide - Daily Checklist
Overnight Events:
 - Night float signout, nursing notes
Interdisciplinary
on daily basis Radiology ... - Review medications ... PRN by primary team ... - Pain medications ... PreRounding #Checklist #management
Priapism 

Secondary Causes:
Medications- intracavernosal injections, anticoagulants, PDE5 inhibitors, alpha blockers, methylphenidate, cocaine
Any hyperviscosity syndrome (SCD, leukemia,
Secondary Causes ... : Medications- ... hyperviscosity syndrome ... Priapism #Diagnosis #Management
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
flutter, ectopic atrial ... Treat underlying cause ... Treat underlying cause ... Tachycardia #Treatment #management ... #cardiology #algorithm