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Algorithm for the management of atrial fibrillation with rapid ventricular response

- Dr. Tom Fadial @thame 

#Atrial
of atrial fibrillation ... Fadial @thame #Atrial ... #fibrillation # ... AFib #RVR #Algorithm ... #Emergency #Cardiology
Newly Diagnosed Atrial Fibrillation - Management Algorithm

 • Rate Control
 • Rhythm Control
 • Anticoagulation

Matthew Ho,
Newly Diagnosed Atrial ... Fibrillation - ... MatthewHoMD #Atrial ... RVR #Management ... #Algorithm #cardiology
Heart Failure with Preserved Ejection Fraction: Management Principles

General Therapeutic Principles:
Reduce the congestive state 
 - Caution
relevant Maintain atrial ... sinus rhythm in atrial ... fibrilation may ... hypertension, pulmonary ... #Cardiology #HFpEF
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
Prostanoid prescribing and management in Pulmonary Arterial Hypertension (PAH)
Oral Prostanoids:
 - Selexipag
 - Treprostinil
Inhaled Prostanoids
 -
prescribing and management ... in Pulmonary Arterial ... #Arterial #Hypertension ... #Algorithm #treatment ... #pharmacology
Stages in the development of HF and recommended therapy by stage. ACEI indicates angiotensin-converting enzyme inhibitor;
inhibitor; AF, atrial ... fibrillation; ARB ... heart failure; HFpEF ... ACCAHA #Algorithm #Management ... #Cardiology
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
convert - Possible atrial ... flutter, ectopic atrial ... Rhythm: • Probable atrial ... possible atrial ... #management #cardiology
Multifocal Atrial Tachycardia (MAT)
• At least 3 different P wave morphologies: 
• Rate 100-180
• Irregular 
Etiology
Multifocal Atrial ... • Hypoxia • Pulmonary ... • Oxygen • Treatment ... #Multifocal #Atrial ... Tachycardia #MAT #Cardiology
Pulmonary Artery Catheter Pressures
Normal: RA 0-8, RV 15-25/0-8, Mean PAP <25, PCWP 8-12, Cardiac Index 2.6-4.2
HFrEF,
Pulmonary Artery ... Normal: RA 0-8, RV ... Index 2.6-4.2 HFrEF ... Arterial HTN Pulmonic ... #Hemodynamics #Cardiology
Acute Atrial Fibrillation - Initial Options for Rate Control
Diltiazem IV
 •  Rapid onset and rapidly
Acute Atrial Fibrillation ... Beneficial in HFrEF ... EricsMedicalLectures/ #Atrial ... Rate #Control #pharmacology ... #management #cardiology