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Atrial Fibrillation (A-Fib) Summary

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

Why?
Cardiac:
	• Valvular heart
Atrial Fibrillation ... Noncardiac: • Pulmonary ... Irregular wide-complex ... identify left atrial ... #cardiology
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Stable Narrow-Complex ... convert - Possible atrial ... flutter, ectopic atrial ... Rhythm: • Probable atrial ... #cardiology #algorithm
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
ï‚· Ischemic Symptoms
ï‚· EKG and/or biomarker evidence of AMI
oliguria, lactic acidosis ... Obtain femoral arterial ... Angiography & PCI ... DCSI #Initiative #Management ... #Cardiology
Complete AV Canal Defect on Echocardiogram

Among pts with Pulmonary Arterial Hypertension, those with Eisenmenger syndrome have
Complete AV Canal ... Among pts with Pulmonary ... Arterial Hypertension ... Echocardiogram #clinical ... #cardiology #pocus
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Adult ACLS - Cardiac Arrest Algorithm - AHA 2020
CPR Quality:
 • Push hard (at least 2
min) and allow complete ... • Spontaneous arterial ... waves with intra-arterial ... Hydrogen ion (acidosis ... #AHA2020 #management
Adult Cardiac Arrest - ACLS Circular Algorithm - AHA 2020
CPR Quality:
 • Push hard (at least
min) and allow complete ... • Spontaneous arterial ... waves with intra-arterial ... Hydrogen ion (acidosis ... #AHA2020 #management
Causes of Lactate Elevation, Lactic Acidosis - Differential Diagnosis

The most common causes of hyperlactatemia are usually:
of lactate as a clinical ... / hypoxemia -> focus ... the patient’s complete ... output - Acute pulmonary ... ’s • Reduced Arterial
HFpEF and CAD Management Algorithm
1. Consider revascularization based on current guidelines for CAD and HFpEF*
2. Statins:
Algorithm 1. ... guidelines (eg, recent PCl ... with increased arterial ... Enroll in HFpEF clinical ... #Algorithm #cardiology
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
murmur 3/6) - Pulmonary ... event, follow ACC algorithm ... Change in clinical ... one post op Cardiology ... medical and surgical management