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Algorithm for the management of atrial fibrillation with rapid ventricular response

- Dr. Tom Fadial @thame 

#Atrial
Algorithm for the ... management of atrial ... fibrillation with ... Fadial @thame #Atrial ... Rapid #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
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 ... weeks before or TEE ... #cardiology
Atrial Fibrillation on POCUS Echocardiogram (A4C)

35yoF presents with acute onset atrial fibrillation.  POCUS shows dilated
Atrial Fibrillation ... with acute onset atrial ... LV to LA across the ... Herbst @EUSmkh #Atrial ... A4C #clinical #cardiology
Mobile Large Left Atrial Thrombus

#Thrombus #Atrial #Clinical #Echocardiogram #TEE #cardiology #POCUS
Mobile Large Left Atrial ... Thrombus #Thrombus ... #Atrial #Clinical ... Echocardiogram #TEE ... #cardiology #POCUS
Coronary Artery Embolism - Etiology and Scoring
Etiology:
 • Direct: Clot (LV thrombus, LAA Thrombus), Valve (Vegetation,
venous origin of CE material ... , TEE, CT or MRI ... non-culprit vessels • Atrial ... Fibrillation ... scoring #criteria #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
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
Widened Pulse Pressure - Differential Diagnosis and Pathophysiology

Pulse pressure is the difference between the systolic blood
Stroke Volume / Arterial ... of developing atrial ... fibrillation ... mmHg developed atrial ... Pathophysiology #causes #cardiology
Atrial Fibrillation on Cardiac Catheterization

Elderly patient taken up for primary PCI. See the way the proximal
Atrial Fibrillation ... up for primary PCI ... @DrRajeshG1 #Atrial ... #Fibrillation # ... AFib #clinical #cardiology