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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
Non-lschemic Causes of Cardiogenic Shock:

Beta-Blockers, Calcium Channel Blockers, Digoxin 

Myocarditis 

Cardiomyopathies (sarcoidosis, amyloidosis, Takatsubo, 
hemochromatosis) 

Valvular
of Cardiogenic Shock ... Supraventricular/Atrial ... Ventricular Fibrillation ... Tamponade, pulmonary ... Differential #Diagnosis #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 ... fibrillation or ... possible atrial
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 (A-Fib) Summary

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

Why?
Cardiac:
	• Valvular heart
Atrial Fibrillation ... Noncardiac: • Pulmonary ... identify left atrial ... test for DM Atrial ... #cardiology
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
DETROIT CARDIOGENIC SHOCK ... Obtain femoral arterial ... Angiography & PCI ... DCSI #Initiative #Management ... #Cardiology
Clinical Management for Three Common Causes of Shock 
HEMORRHAGIC SHOCK
 • Ensure adequate ventilation and oxygenation.
Clinical Management ... dysrhythmias (eg, atrial ... fibrillation with ... pressure (PEEP) for pulmonary ... #Shock #Management
Adult ACLS - Cardiac Arrest Algorithm - AHA 2020
CPR Quality:
 • Push hard (at least 2
Shock Energy for ... • Spontaneous arterial ... waves with intra-arterial ... , Thrombosis, (pulmonary ... Algorithm #AHA2020 #management
Adult Cardiac Arrest - ACLS Circular Algorithm - AHA 2020
CPR Quality:
 • Push hard (at least
Shock Energy for ... • Spontaneous arterial ... waves with intra-arterial ... , Thrombosis, (pulmonary ... Algorithm #AHA2020 #management