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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 ... , syncope. 1. ... Cardiac: • Valvular ... Noncardiac: • Pulmonary ... #Fibrillation #Cardiology
Atrial Fibrillation - Diagnosis, Causes, Presentations
Causes (PIRATES):
 - Pulmonary embolism 
 - Ischemia (cardiac) 
 -
- Diagnosis, Causes ... (PIRATES): - Pulmonary ... - Ischemia (cardiac ... - Repiratory disease ... PIRATES #Emergency #Cardiology
Clues to Differential Diagnosis of Central Cyanosis: Onset of cyanosis, Clubbing, Secondary erythrocytosis, Auscultation, X-ray, Echocardiography,
Diagnosis of Central ... Echocardiography, Arterial ... diseases - Pulmonary ... #Central #Cardiology ... #Causes #Table
Syncope - Differential Diagnosis
The percentage of syncopal events secondary to arrhythmias or structural disease is generally
Diagnosis The ... or structural disease ... Volume depletion Cardiac ... stenosis • HOCM • Pulmonary ... #causes
Syncope is a sudden, transient loss of consciousness, which is thought to be secondary to cerebral
be divided into cardiac ... structural heart disease ... the underlying disease ... In many cases, syncope ... The treatment strategy
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
Treatment of Stable ... disease or CHF) ... Treat underlying cause ... disease or CHF) ... #management #cardiology
Causes of Palpitations
 • ARRHYTHMiA 
 • SINUS ARRYTHMIA 
 • ATRIAL FIBRILLATION 
 • ATRIAL
Causes of Palpitations ... SYPATHOMIMETICS • CARDIAC ... PHAEOCHROMOCYTOMA • PULMONARY ... #Differential #Diagnosis ... #Cardiology
Causes of Chronic Dyspnea - Differential Diagnosis Algorithm
Pericardial
 • Effusion
 • Cardiac Tamponade*
 • Constriction
Myocardial
 •
- Differential Diagnosis ... • Effusion • Cardiac ... • Sub-Valvular Disease ... • Stable Angina ... Arrhythmia • Atrial
Multifocal Atrial Tachycardia (MAT)
• At least 3 different P wave morphologies: 
• Rate 100-180
• Irregular 
Etiology
to chronic lung disease ... • Hypoxia • Pulmonary ... • Oxygen • Treatment ... Tachycardia #MAT #Cardiology ... #Diagnosis #ECG
Arrhythmias - Differential Diagnosis Algorithm
May present as: palpitations, dizziness, syncope, chest discomfort
Cardiac Causes:
 - Structural
- Differential Diagnosis ... palpitations, dizziness, syncope ... chest discomfort Cardiac ... • Valve disease ... #Arrhythmias #Cardiology