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Atrial Fibrillation Overview

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

1. Why?
Cardiac:
• Valvular heart disease
•
Atrial Fibrillation ... near-syncope, syncope. 1. ... Cardiac: • Valvular ... Noncardiac: • Pulmonary ... Endocrinopathies 2.
Rheumatic Heart Disease - Mitral Stenosis on Echocardiogram
(1) Thickened and fibrosed MV leaflets - rheumatic etiology
(1) Thickened ... (2) Lvef 25-30% ... (4) All 4 cardiac ... fibrillation :) ... #a4c #thrombus
Atrial Fibrillation (A-Fib) Summary

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

Why?
Cardiac:
	• Valvular heart
Atrial Fibrillation ... Cardiac: • Valvular ... Noncardiac: • Pulmonary ... 1. ... cardioversion 2.
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
Myocarditis: 1. ... clinical suspicion 2. ... Fulminant: - Acute HF ... Pericarditis, Tamponade ... agent, steroids, AC
Adult ACLS - Cardiac Arrest Algorithm - AHA 2020
CPR Quality:
 • Push hard (at least 2
Adult ACLS - Cardiac ... Shock Energy for Defibrillation ... pneumothorax, Tamponade ... (cardiac), Toxins ... , Thrombosis, (pulmonary
Adult Cardiac Arrest - ACLS Circular Algorithm - AHA 2020
CPR Quality:
 • Push hard (at least
Adult Cardiac Arrest ... Shock Energy for Defibrillation ... pneumothorax, Tamponade ... (cardiac), Toxins ... , Thrombosis, (pulmonary
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
murmur 3/6) - Pulmonary ... exam Determine Cardiac ... disease b) CHF ... days before Pulmonary ... postoperative cardiac
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
liver disease and pulmonary ... 1. ... as RAP>LAP as atrial ... PVeins (extra-cardiac ... clinical #pocus #a4c
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
Cardiomyopathy - Summary 1. ... other causes* 2. ... cardiomyopathy • Pulmonary ... May have typical HF ... months before 1°