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Atrial Fibrillation - Rate Control and Rhythm Control - Management

Infographic by Dr. Pouria Rezapour @prezapour 

#Atrial
Atrial Fibrillation ... @prezapour #Atrial ... #Fibrillation # ... 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 # ... #Cardiology #Disposition ... #Admission #Indications
Atrial Fibrillation - Diagnosis, Causes, Presentations
Causes (PIRATES):
 - Pulmonary embolism 
 - Ischemia (cardiac) 
 -
Atrial Fibrillation ... - Diagnosis, Causes ... (PIRATES): - Pulmonary ... #Fibrillation # ... PIRATES #Emergency #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 ... Noncardiac: • Pulmonary ... Anticoagulation #Atrial ... #Fibrillation # ... Cardiology #Management
Digoxin 101 - Pharmacology
Indications:

1) Tachyarrhythmias 
 • Atrial Fibrillation, Atrial Flutter, Supraventricular Tachycardias
 • ↑ Vagal
Digoxin 101 - Pharmacology ... Indications: ... Tachyarrhythmias • Atrial ... Fibrillation, Atrial ... #cardiology
Non-lschemic Causes of Cardiogenic Shock:

Beta-Blockers, Calcium Channel Blockers, Digoxin 

Myocarditis 

Cardiomyopathies (sarcoidosis, amyloidosis, Takatsubo, 
hemochromatosis) 

Valvular
Non-lschemic Causes ... Supraventricular/Atrial ... Ventricular Fibrillation ... Tamponade, pulmonary ... Differential #Diagnosis #Cardiology
Causes of Palpitations
 • ARRHYTHMiA 
 • SINUS ARRYTHMIA 
 • ATRIAL FIBRILLATION 
 • ATRIAL
Causes of Palpitations ... FIBRILLATION ... PHAEOCHROMOCYTOMA • PULMONARY ... #Palpitations #Causes ... Differential #Diagnosis #Cardiology
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Treat underlying cause ... fibrillation or ... Treat underlying cause ... Tachycardia #Treatment #management ... #cardiology #algorithm
Heart Failure with Preserved Ejection Fraction: Management Principles

General Therapeutic Principles:
Reduce the congestive state 
 - Caution
Ejection Fraction: Management ... sinus rhythm in atrial ... fibrilation may ... hypertension, pulmonary ... #Cardiology #HFpEF
Acute Atrial Fibrillation - Initial Options for Rate Control
Diltiazem IV
 •  Rapid onset and rapidly
Acute Atrial Fibrillation ... IV bolus can cause ... #Fibrillation # ... Rate #Control #pharmacology ... #management #cardiology