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cardiomyopathy peripartum atrium avr bubble contrast ecg echocardiogram effect electrocardiogram endocarditis evaluation fibrillation leadavr negative obgyn perioperative pocus ppcm preop
Atrial Fibrillation (A-Fib) Summary Symptoms: • Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope. Why? Cardiac: • Valvular heart
(< 5% pts with afibb ... ventricular hypertrophy, pericardial ... #Fibrillation #AFib ... #diagnosis #management ... #cardiology
Lead AVR on ECG 1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
indicative of left ... artery (LMCA). left ... injury from pericardial ... #ekg #differential ... #cardiology
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
Libman Sacks) • Atrial ... Marantic (NTBE) Differential ... ↑ ESR, CRP • EKG ... • Left sided > Right ... #management #cardiology
Negative Contrast Effect in Right Atrium - Differential Diagnosis 1. Small secundum ASD or PFO with left
Diagnosis 1. ... ASD or PFO with left ... #Diagnosis #cardiology ... #clinical #echocardiogram ... #s4c #pocus #bubble
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 Peripartum Cardiomyopathy - Summary 1. Definition • Towards the end of pregnancy to 5 months postpartum
Differential Diagnosis ... Clinical • Under-recognized ... Serial TTE and close ... Cardiomyopathy #diagnosis ... #management #cardiology
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
Obtain EKG if: ... Change in clinical ... one post op Cardiology ... medical and surgical management ... stratification #diagnosis
Peripartum Cardiomyopathy (PPCM) What is PPCM? • A form of acute systolic heart failure that develops late in
Characterized by left ... , selenium) Differential ... : LVEF <45% • Left ... recognition and management ... Cardiomyopathy #Cardiology
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