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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
Atrial Fibrillation - Management Principles

1) TREAT ANY IDENTIFIED PRECIPTANT(S) 
2) RATE OR RHYTHM CONTROL 
3) ANTICOAGULATION
Atrial Fibrillation ... - Management Principles ... #Fibrillation #Management ... #Emergency #Cardiology ... Disposition #Admission #Indications
Atrial Fibrillation (A-Fib) Summary

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

Why?
Cardiac:
	• Valvular heart
Noncardiac: • Pulmonary ... (< 5% pts with afibb ... Absolute warfarin indications ... #diagnosis #management ... #cardiology
Syncope - Differential Diagnosis Algorithm
Neurocardiogenic:
 • Vasovagal
 • Orthostatic Hypotension
 • Autonomic Neuropathy
 • Situational (micturition,
Respiratory: • Pulmonary ... • Anemia • Medications ... Tachyarrhythmia: • VT/VFib ... • AFib/AFlutter ... Syndrome #Syncope #Cardiology
Medications for High-Altitude Sickness 
Acetazolarnide 
 • Carbonic Anydrase Inhibitor Bicarb diuresis & metabolic Acidosis ->
Medications for ... • Decreases pulmonary ... arterial pressure ... Altitude #Sickness #Medications ... #Management #Treatment
Non-Invasive Positive Pressure Ventilation
Indications: 
 • COPD exacerbation (↓ intubation, ↓ mortality), Cardiogenic pulmonary edema (↓
Pressure Ventilation Indications ... ), Cardiogenic pulmonary ... Helmet, Full Face, Partial ... Ventilation #diagnosis #management ... #indications #pulmonary
Atrial Fibrillation RVR - Medications
Diltiazem
 • Preferred in patients with chronic lung such as Asthma and
Atrial Fibrillation ... RVR - Medications ... #Atrial #Fibrillation ... #AFib #RVR #Medications ... #management #treatment
Endocarditis checklist
Initial evaluation
 • Peripheral blood cultures (three sets at three different sites)
 • Additional culture
Endocarditis checklist ... w/ septic pulmonary ... spleen, brain) Indications ... • Aggressive management ... criticalcare #diagnosis #management
Table of Common Rate Control Agents via AHA/ACC/HRS Guidelines #Management #Pharm #EM #IM #Cardiology #Afib #Common
HRS Guidelines #Management ... Pharm #EM #IM #Cardiology ... #Afib #Common # ... Medications #RateControl
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Libman Sacks) • Atrial ... Cerebral > Splenic, pulmonary ... Metastatic disease and tumor ... #diagnosis #management ... #cardiology