8 results
Heart Failure with Preserved Ejection Fraction: Management Principles

General Therapeutic Principles:
Reduce the congestive state 
 - Caution
Ejection Fraction: Management ... sinus rhythm in atrial ... hypertension, pulmonary ... #Cardiology #HFpEF ... #Treatment #HeartFailure
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Treatment of Stable ... with caution in pulmonary ... disease or CHF) ... disease or CHF) ... #management #cardiology
TOPCAT - Spironolactone for Heart Failure with Preserved Ejection Fraction

N Engl J Med 2014; 370:1383-1392 https://www.nejm.org/doi/10.1056/NEJMoa1313731

CONCLUSIONS:
ejection fraction, treatment ... hospitalization for the management ... Spironolactone #HFpEF ... #dCHF #Cardiology ... VisualAbstract #Trial
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Liver function tests ... Revascularization, treatment ... Organ failure — device ... #Checklist #CHF ... #HeartFailure #Cardiology
Mask Oxygen Delivery Devices

Simple Mask aka Hudson's Mask:
 • Flow 6-10 LPM
 • FiO2 35-50%
Face Tent:
Devices Simple ... FiO2 35-50% Face Tent ... • FiO2 24-60% Partial ... Oxygen #Delivery #Devices ... #management #pulmonary
Atrial Fibrillation (A-Fib) Summary

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

Why?
Cardiac:
	• Valvular heart
Decompensated HF ... Noncardiac: • Pulmonary ... serum creatinine, test ... AFib #diagnosis #management ... #cardiology
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Any implantable devices ... disease b) CHF ... determine if stress test ... one post op Cardiology ... medical and surgical management
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
cardiomyopathy • Pulmonary ... May have typical HF ... Management during ... Serial TTE and close ... #cardiology #treatment