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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
Syncope - Differential Diagnosis Algorithm
Neurocardiogenic:
 • Vasovagal
 • Orthostatic Hypotension
 • Autonomic Neuropathy
 • Situational (micturition,
• Anemia • Medications ... • AFib/AFlutter ... • Sick Sinus Syndrome ... #Syncope #Cardiology ... Diagnosis #Algorithm #causes
Anatomical Differential Diagnosis for Arrhythmias
 • SA node: Sinus bradycardia, Sick Sinus Syndrome (SSS)
 • AV
bradycardia, Sick Sinus Syndrome ... : Premature Atrial ... Fibrillation (V-Fib ... Differential #Diagnosis #Causes ... #cardiology
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
abberancy - N B Afib ... (3) SVTs - atrial ... (2) Sick Sinus Syndrome ... 200ms from longer pause ... electrocardiogram #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 ... (< 5% pts with afibb ... Absolute warfarin indications ... #diagnosis #management ... #cardiology
Arrhythmias - Differential Diagnosis Algorithm

Bradyarrhythmia (<60 bpm)
 • Sinus Bradycardia
 • Sick Sinus Syndrome
 • SA
• Sick Sinus Syndrome ... • Premature atrial ... 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
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 ... #Urology #Differential
Acute Atrial Fibrillation - Initial Options for Rate Control
Diltiazem IV
 •  Rapid onset and rapidly
Acute Atrial Fibrillation ... IV bolus can cause ... • Does not cause ... #pharmacology #management ... #cardiology #AFib
Hearing Loss - Differential Diagnosis Framework

Hearing Loss Types:
• Conductive
• Sensorineural
• Mixed
Presbycusis is the most common type
include a: • Neurologic ... Use of ototoxic medications ... tympanic membrane • Neurologic ... cause unknown) ... II ○ Susac’s syndrome