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Atrial Fibrillation - Rate Control and Rhythm Control - Management

Infographic by Dr. Pouria Rezapour @prezapour 

#Atrial
Atrial Fibrillation ... @prezapour #Atrial ... #Fibrillation # ... 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 # ... #Cardiology #Disposition ... #Admission #Indications
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
Anatomical Differential Diagnosis for Arrhythmias
 • SA node: Sinus bradycardia, Sick Sinus Syndrome (SSS)
 • AV
bradycardia, Sick Sinus Syndrome ... Fibrillation (AF ... ), Ventricular Fibrillation ... Differential #Diagnosis #Causes ... #cardiology
Causes of Palpitations
 • ARRHYTHMiA 
 • SINUS ARRYTHMIA 
 • ATRIAL FIBRILLATION 
 • ATRIAL
Causes of Palpitations ... FIBRILLATION ... PARKINSON WHITE SYNDROME ... #Palpitations #Causes ... Differential #Diagnosis #Cardiology
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 ... fibrillation on ... presented with nausea ... Electrocardiogram #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 ... intolerance, chest pain, near-syncope ... Absolute warfarin indications ... AFib #diagnosis #management ... #cardiology
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Treat underlying cause ... fibrillation or ... Treat underlying cause ... Tachycardia #Treatment #management ... #cardiology #algorithm
Widened Pulse Pressure - Differential Diagnosis and Pathophysiology

Pulse pressure is the difference between the systolic blood
Physiologic Causes ... fibrillation ... fibrillation at ... Acute Coronary Syndrome ... #cardiology
Intraoperative Sepsis - Guidelines for Crises in Anaesthesia

Severe sepsis (hypotension persisting after initial fluid challenge of
likely underlying cause ... inform theatre team ... Discuss ongoing management ... intensive care team ... anaesthesia #Sepsis #Anesthesiology