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Atrial Fibrillation - Rate Control and Rhythm Control - Management

Infographic by Dr. Pouria Rezapour @prezapour 

#Atrial
Atrial Fibrillation ... #Fibrillation #AFib ... Cardioversion #Emergency ... #Cardiology #Indications ... #Management
Anatomical Differential Diagnosis for Arrhythmias
 • SA node: Sinus bradycardia, Sick Sinus Syndrome (SSS)
 • AV
Diagnosis for Arrhythmias ... bradycardia, Sick Sinus Syndrome ... Fibrillation (V-Fib ... Differential #Diagnosis #Causes ... #cardiology
Arrhythmias - Differential Diagnosis Algorithm

Bradyarrhythmia (<60 bpm)
 • Sinus Bradycardia
 • Sick Sinus Syndrome
 • SA
Arrhythmias - Differential ... • Sick Sinus Syndrome ... interval) • AFib ... tachyarrhythmias #Cardiology ... Diagnosis #Algorithm #causes
Palpitations - Differential Diagnosis Framework

What?
• It is an unpleasant awareness or sensation that the heart is
PALPITATIONS: Medications ... brain flow (VT/Vfib ... /Afib/WPW) • Loss ... consciousness • Near-syncope ... #Palpitations #Cardiology
Atrial Fibrillation (A-Fib) Summary

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

Why?
Cardiac:
	• Valvular heart
intolerance, chest pain, near-syncope ... Common Sustained Arrhythmia ... Absolute warfarin indications ... #diagnosis #management ... #cardiology
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia

If the patient is unconscious, signs of cardiac
inversion • Arrhythmias ... Inform theatre team ... Consider invasive arterial ... consultation with cardiology ... Checklist #Diagnosis #Management
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
exclude other causes ... shock and severe arrhythmias ... with Cardio-OB team ... Serial TTE and close ... #cardiology #treatment
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
- Allergies to medications ... CV disease - Arrhythmia ... echo in the last year ... one post op Cardiology ... medical and surgical management