12 results
Atrial Fibrillation Overview

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

1. Why?
Cardiac:
• Valvular heart disease
•
Atrial Fibrillation ... Noncardiac: • Pulmonary ... Anticoagulation ... #Atrial #Fibrillation ... #Cardiology #Management
Patient risk stratification algorithm for the treatment of cancer-associated thrombosis.

Currently, edoxaban and rivaroxaban are the only
randomized controlled trial ... thrombosis; PE = pulmonary ... Cancer #Algorithm #Anticoagulation ... #Management #Hematology ... #Oncology
Atrial Fibrillation (A-Fib) Summary

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

Why?
Cardiac:
	• Valvular heart
Noncardiac: • Pulmonary ... unknown duration • Anticoagulation ... exclude thrombus • Anticoagulation ... β-blocker or CCB Anticoagulation ... AFib #diagnosis #management
Chronic Thromboembolic Pulmonary Hypertension (CTEPH) and Pulmonary Thromboendarterectomy
Chronic Thromboembolic Pulmonary Hypertension
Definition: mean pulmonary-artery pressure > 25mmHg
Thromboembolic Pulmonary ... thromboembolic material ... Rarely performed Anticoagulation ... antagonist • BENEFiT Trial ... Thromboendarterectomy #diagnosis #management
Leptospirosis
Pathogen: Leptospira (interrogans, kirschneri, noguchii)
Risk Factors:
 • Occupational exposure - Farmers, ranchers, trappers, veterinarians
 • Recreational
canoeing, kayaking, trail ... Overcrowded urban areas ... failure • Severe pulmonary ... diagnosis #treatment #management
Extracorporeal Membrane Oxygenation (ECMO) - Basics
Mode of cardiopulmonary support used to treat pulmonary and/or cardiovascular failure
used to treat pulmonary ... Suppots lungs (pulmonary ... needed for plugging ANTICOAGULATION ... #ECMO #Basics #management ... #pulmonary #criticalcare
Differentiation Syndrome in APML
Epidemiology:
 • Incidence: common in APL (2-48% depending on the study)
 • Triggers:
• Triggers: ATRA ... Imaging: CXR- pulmonary ... or 15 days of ATRA ... APML #diagnosis #management ... #hematology #oncology
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
cardiomyopathy • Pulmonary ... Management during ... Postpartum Period • Breast-feeding ... suggest prophylactic anticoagulation ... Serial TTE and close
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 ... cause + Systemic anticoagulation ... Endocarditis #diagnosis #management
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
murmur 3/6) - Pulmonary ... Anticoagulation ... days before Pulmonary ... CARP, DECREASE V trials ... medical and surgical management