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Newly diagnosed Atrial Fibrillation - Cardioversion and Anticoagulation Algorithm

Matthew Ho, MD PhD @MatthewHoMD

#Atrial #Fibrillation #Cardioversion #Anticoagulation
Newly diagnosed ... Atrial Fibrillation ... MatthewHoMD #Atrial ... #Fibrillation # ... #management #cardiology
Atrial Fibrillation Overview

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

1. Why?
Cardiac:
• Valvular heart disease
•
Atrial Fibrillation ... Decompensated HF ... #Fibrillation # ... Cardiology #Management ... #Algorithm
Newly Diagnosed Atrial Fibrillation - Management Algorithm

 • Rate Control
 • Rhythm Control
 • Anticoagulation

Matthew Ho,
Newly Diagnosed ... Atrial Fibrillation ... - Management Algorithm ... #Fibrillation # ... #Algorithm #cardiology
Stages in the development of HF and recommended therapy by stage. ACEI indicates angiotensin-converting enzyme inhibitor;
inhibitor; AF, atrial ... fibrillation; ARB ... #CHF #Congestive ... Stages #ACCAHA #Algorithm ... #Management #Cardiology
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
pulmonary disease or CHF ... fibrillation or ... pulmonary disease or CHF ... Tachycardia #Treatment #management ... #cardiology #algorithm
Atrial Fibrillation (A-Fib) Summary

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

Why?
Cardiac:
	• Valvular heart
Atrial Fibrillation ... Decompensated HF ... Fibrillation - ... AFib #diagnosis ... #management #cardiology
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
simply a clinical diagnosis ... #algorithm #management ... #cardiology #treatment ... #heartfailure #chf ... icu #clinical #pharmacology
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
disease b) CHF ... event, follow ACC algorithm ... one post op Cardiology ... medical and surgical management ... stratification #diagnosis