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diagnosis algorithm differential endocarditis fibrillation tachycardia acutepe cad cardiogenic causes dcsi detroit ecg electrocardiogram embolism emergency evaluation hfpef infectiousdiseases initiative
Atrial Fibrillation - Diagnosis, Causes, Presentations Causes (PIRATES): - Pulmonary embolism - Ischemia (cardiac) -
Atrial Fibrillation ... (PIRATES): - Pulmonary ... Repiratory disease - Atrial ... enlargement or myxoma ... Rezapour @prezapour #Atrial
Multifocal Atrial Tachycardia (MAT) • At least 3 different P wave morphologies: • Rate 100-180 • Irregular Etiology
Multifocal Atrial ... • Hypoxia • Pulmonary ... #Multifocal #Atrial ... Tachycardia #MAT #Cardiology ... #EKG #Management
EKG in Acute Pulmonary Embolism The sensitivity and specificity for EKG findings in acute PE are low. EKG
EKG in Acute Pulmonary ... common finding) • Atrial ... result of atrial ... #EKG #Pulmonary ... AcutePE #diagnosis #cardiology
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
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 ... #cardiology #algorithm
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM INCLUSION CRITERIA Acute Myocardial Infarction  Ischemic Symptoms  EKG and/or biomarker evidence of AMI
Ischemic Symptoms  EKG ... Obtain femoral arterial ... Angiography & PCI ... DCSI #Initiative #Management ... #Cardiology
Palpitations - Differential Diagnosis Framework What? • It is an unpleasant awareness or sensation that the heart is
Paroxysmal AF, atrial ... flutter, or atrial ... Arrhythmias: • Atrial ... • Multifocal atrial ... #Palpitations #Cardiology
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
Libman Sacks) • Atrial ... myxoma • Hypercoagulable ... Cerebral > Splenic, pulmonary ... ↑ ESR, CRP • EKG ... #cardiology
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
murmur 3/6) - Pulmonary ... indicated • EKG ... Obtain EKG if: ... one post op Cardiology ... medical and surgical management
HFpEF and CAD Management Algorithm 1. Consider revascularization based on current guidelines for CAD and HFpEF* 2. Statins:
HFpEF and CAD Management ... current guidelines (eg ... , recent PCl or ... with increased arterial ... #Algorithm #cardiology
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