23 results
Traditionally, congestive heart failure has been classified according to severity of symptoms, first formulated by the
Association, which is classes ... sometimes advanced treatment ... flare ups that cause ... #Diagnosis #Cardiology ... Classification #Stages #Classes
STAGES of CHF (A, B, C, D), however, describe the severity of structural abnormalities that impair
sometimes advanced treatment ... flare ups that cause ... class III and class ... Treatments may include ... #Management #Cardiology
Simplified Approach to Acute Kidney Injury (AKI)
1) IS THIS AN EMERGENCY? 
Is there a dialysis indication
require urgent nephrology ... PROBLEM ~80% of AKI cases ... creatinine (in 12 ... CONSIDER INTRINSIC CAUSES ... KidneyInjury #simplified #workup
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Treatment of Stable ... pulmonary disease or CHF ... Treat underlying cause ... Treat underlying cause ... #management #cardiology
Iron Deficiency in Heart Failure
Pathophysiology:
Chronic heart failure leads to an increase in inflammatory cytokines → Inflammation
→ Inflammation causes ... functional ID) Treatment ... endpoint of all-cause ... iron #deficiency #CHF ... diagnosis #management #cardiology
How do you work up an ischemic CVA?
A) Initial Evaluation
 • ABCs
 • IV access, monitor
How do you work ... Evaluate underlying cause ... angiography • +/- Vit B12 ... Ruled out other causes ... #CVA #stroke #workup
TOPCAT - Spironolactone for Heart Failure with Preserved Ejection Fraction

N Engl J Med 2014; 370:1383-1392 https://www.nejm.org/doi/10.1056/NEJMoa1313731

CONCLUSIONS:
ejection fraction, treatment ... cardiovascular causes ... Spironolactone #HFpEF #dCHF ... #Cardiology #EBM
Hyponatremia - Diagnosis and Treatment
Hyponatremia is usually caused by the inability to excrete water normally.
vast majority of cases ... 3 questions to work ... the underlying cause ... include vaptans (HF ... #management #nephrology
Quincke's Pulse in a patient with a normal echocardiogram (non-valvular)

A 70 y/o man presents with new
confirm high-output HF ... Workup for cause ... Patient drinks ~2 glasses ... EtOH causes thiamine ... Fingernails #Nailbed #Cardiology
In order to better classify heart failure, the American College of Cardiology Foundation and the American
American College of Cardiology ... With treatment, ... #Diagnosis #Cardiology ... #CHF #Congestive ... Classification #Stages #Classes