11 results
Newly diagnosed Atrial Fibrillation - Cardioversion and Anticoagulation Algorithm

Matthew Ho, MD PhD @MatthewHoMD

#Atrial #Fibrillation #Cardioversion #Anticoagulation
Newly diagnosed ... Atrial Fibrillation ... Algorithm Matthew ... MatthewHoMD #Atrial ... #Algorithm #management
Atrial Fibrillation Overview

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

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

 • Rate Control
 • Rhythm Control
 • Anticoagulation

Matthew Ho,
Newly Diagnosed ... Atrial Fibrillation ... - Management Algorithm ... Rhythm Control • Anticoagulation ... MatthewHoMD #Atrial
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia

If the patient is unconscious, signs of cardiac
Consider invasive arterial ... consider need for anticoagulation ... #Anesthesia #Intraoperative ... #Checklist #Diagnosis ... #Management #Workup
Approach to Antithrombotic Therapy in Peripheral Artery Disease
Increased Ischemic Risk:
 • Prior MI
 • Diabetes
 •
Disease Increased Ischemic ... Bleeding Risk: • Anticoagulation ... conduit • Poor arterial ... Antithrombotic #management ... #antiplatelet #algorithm
Antiphospholipid Syndrome (APS)
APS is a rare autoimmune disorder characterized by recurring blood clots resulting from antibodies
Anticardiolipin antibodies (aCL ... confirmed venous, arterial ... Guidelines): • Anticoagulation ... patient has an arterial ... #management #anticoagulation
Atrial Fibrillation (A-Fib) Summary

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

Why?
Cardiac:
	• Valvular heart
Atrial Fibrillation ... risk factors Atrial ... identify left atrial ... test for DM Atrial ... valve • Left atrial
Indications for tPA in Stroke:
 • Clinical diagnosis of ischemic stroke
 • Measurable neurologic deficit
 •
: • Clinical diagnosis ... of ischemic stroke ... • Therapeutic anticoagulation ... • Arterial puncture ... #Stroke #cva #management
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
complications from anesthesia ... history of: a) Ischemic ... algorithm to determine ... Anticoagulation ... stratification #diagnosis
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Libman Sacks) • Atrial ... Early embolic/ischemic ... Differential Diagnosis ... cause + Systemic anticoagulation ... #management #cardiology