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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
•
Cardiac: • Valvular ... Decompensated HF • New ischemia ... Noncardiac: • Pulmonary ... #Fibrillation #Cardiology ... #Management #Algorithm
Multifocal Atrial Tachycardia (MAT)
• At least 3 different P wave morphologies: 
• Rate 100-180
• Irregular 
Etiology
Multifocal Atrial ... • Hypoxia • Pulmonary ... Tachycardia #MAT #Cardiology ... #Diagnosis #ECG ... #EKG #Management
Atrial Fibrillation - Diagnosis, Causes, Presentations
Causes (PIRATES):
 - Pulmonary embolism 
 - Ischemia (cardiac) 
 -
- Diagnosis, Causes ... (PIRATES): - Pulmonary ... embolism - Ischemia ... (cardiac) - ... PIRATES #Emergency #Cardiology
ISCHEMIA Trial - Management Algorithm for patients with Stable Angina

Stress Test -> ? +moderate or severe
ISCHEMIA Trial - ... Management Algorithm ... LMCA lesion -> Cardiac ... #Management #Algorithm ... #Cardiology #EBM
EKG in Acute Pulmonary Embolism
The sensitivity and specificity for EKG findings in acute PE are low.
EKG
EKG in Acute Pulmonary ... other causes of cardio-pulmonary ... leads) RV Ischemia ... #EKG #Pulmonary ... Embolism #AcutePE #diagnosis
Mesenteric Ischemia - Differential Diagnostic Schema
Chronic: ASCVD, Venous, Vasculitides 5% (PAN, [E]GPA, IgA, MPA)
Acute
 - Venous
- Differential Diagnostic ... inflammation (e.g ... pancreatitis) - Arterial ... Thrombus / Embolism: Cardiac ... #Diagnosis #algorithm
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia

If the patient is unconscious, signs of cardiac
CM5 continuous ECG ... Consider invasive arterial ... consultation with cardiology ... Intraoperative #Checklist #Diagnosis ... #Management #Workup
Causes of Ischemic Stroke - Differential Diagnosis Algorithm
Thrombosis - Atherosclerosis, Arterial Dissection, Fibromuscular Dysplasia
 - Large
Causes of Ischemic ... - Differential Diagnosis ... Algorithm Thrombosis ... infarction • Pulmonary ... #Algorithm #Causes
Severe Asthma Algorithm - Management of Life-Threatening Asthma in the Emergency Department
Step One
1. Nebulized Albuterol
2. Nebulized
- Management of ... Diagnostics: Chest ... HCG, ECG if concern ... non-sinus rhythm or cardiac ... ischemia Dr.
Right-Sided Heart Failure - Differential Diagnosis Algorithm
Cardiac Causes - Rule out Left-Sided Heart Failure (Most Common):
- Differential Diagnosis ... Algorithm Cardiac ... Cardiomyopathy - Valves ... Arterial Hypertension ... #HeartFailure #Cardiology