29 results
Atrial Fibrillation - Diagnosis, Causes, Presentations
Causes (PIRATES):
 - Pulmonary embolism 
 - Ischemia (cardiac) 
 -
Atrial Fibrillation ... (PIRATES): - Pulmonary ... - Ischemia (cardiac ... prezapour #Atrial #Fibrillation ... PIRATES #Emergency #Cardiology
Cardiac Rupture with Pericardial Effusion

Apical 4 chamber. Note larger right sided pericardial effusion with significant compression
Cardiac Rupture ... concerning for cardiac ... pericardial #effusion #tamponade ... Echocardiogram #ultrasound #Cardiology ... #A4c #clinical
Atrial Fibrillation Overview

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

1. Why?
Cardiac:
• Valvular heart disease
•
Atrial Fibrillation ... Cardiac: • Valvular ... Noncardiac: • Pulmonary ... Anticoagulation #Atrial #Fibrillation ... #Cardiology #Management
Non-lschemic Causes of Cardiogenic Shock:

Beta-Blockers, Calcium Channel Blockers, Digoxin 

Myocarditis 

Cardiomyopathies (sarcoidosis, amyloidosis, Takatsubo, 
hemochromatosis) 

Valvular
Ventricular Fibrillation ... dysfunction Tamponade ... , pulmonary HTN, ... Differential #Diagnosis #Cardiology
Causes of Chronic Dyspnea - Differential Diagnosis Algorithm
Pericardial
 • Effusion
 • Cardiac Tamponade*
 • Constriction
Myocardial
 •
• Effusion • Cardiac ... Tamponade* • ... Arrhythmia • Atrial Fibrillation ... • Neoplasm Pulmonary ... Vessels • Pulmonary
Pulmonary Artery Catheter Pressures
Normal: RA 0-8, RV 15-25/0-8, Mean PAP <25, PCWP 8-12, Cardiac Index 2.6-4.2
HFrEF,
Pulmonary Artery ... 25, PCWP 8-12, Cardiac ... decompensated Pulmonary ... Right-to-Left Shunt Tamponade ... #Hemodynamics #Cardiology
Abnormal Jugular Venous Pressure Waveforms - Differential Diagnosis
 - Absent a wave - Atrial fibrillation, sinus
wave - Atrial fibrillation ... atrial myxoma, pulmonary ... Absent y descent - Cardiac ... tamponade #Abnormal ... #PhysicalExam #cardiology
Tamponade Masked in Pulmonary Hypertension

Signs of Tamponade can be masked by pulmonary hypertension! 1.2L drained. Read
in Pulmonary Hypertension ... can be masked by pulmonary ... Clinical #POCUS #Cardiology ... Echocardiogram #A4C ... #Cardiac #Tamponade
Causes of Palpitations
 • ARRHYTHMiA 
 • SINUS ARRYTHMIA 
 • ATRIAL FIBRILLATION 
 • ATRIAL
ARRYTHMIA • ATRIAL FIBRILLATION ... SYPATHOMIMETICS • CARDIAC ... PHAEOCHROMOCYTOMA • PULMONARY ... Differential #Diagnosis #Cardiology
Syncope - Differential Diagnosis Algorithm
Neurocardiogenic:
 • Vasovagal
 • Orthostatic Hypotension
 • Autonomic Neuropathy
 • Situational (micturition,
Respiratory: • Pulmonary ... • Migraine Cardiac ... Stenosis • Cardiac ... Tamponade ... Syndrome #Syncope #Cardiology