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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 ... Cardiac: • Valvular ... Endocrinopathies 2. ... Anticoagulation #Atrial ... #Fibrillation #Cardiology
On a chest film only the outer contours of the heart are seen.
In many cases we
Left Atrium - Most ... towards the left atrium ... . - Left atrial ... #Anatomy #Radiology ... #CXR #Atrium #Ventricle
Rheumatic Heart Disease - Mitral Stenosis on Echocardiogram
(1) Thickened and fibrosed MV leaflets - rheumatic etiology
(2) Lvef 25-30% ... (4) All 4 cardiac ... (7) patient in atrial ... Echocardiogram #clinical #cardiology ... #a4c #thrombus
Atrial Fibrillation (A-Fib) Summary

Symptoms:
• Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope.

Why?
Cardiac:
	• Valvular heart
Atrial Fibrillation ... risk factors Atrial ... right and left atria ... identify left atrial ... diagnosis #management #cardiology
Radiation Dose to Adults from Common Imaging Examinations
ABDOMINAL REGION
 - Computed Tomography (CT) — Abdomen and
without contrast material ... without contrast material ... mSv 4 years - Cardiac ... #PatientInfo #Radiology ... Imaging #ChestXRay #CXR
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
ankle swelling. 2. ... → no signs of CXR ... congestion. 2. ... Consider cardiac ... diagnosis #management #cardiology
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
disease b) CHF ... event, follow ACC ... algorithm to determine ... indication of AC ... one post op Cardiology
Double Shunt on Echocardiogram
What do you see on this saline contrast study, in a patient with
liver disease and pulmonary ... as RAP>LAP as atrial ... PFO or ASD, and later ... clinical #pocus #a4c ... intrapulmonary #cardiology
Peripartum Cardiomyopathy - Summary
1. Definition
 • Towards the end of pregnancy to 5 months postpartum
other causes* 2. ... cardiomyopathy • Pulmonary ... May have typical HF ... and timing with Cardio-OB ... diagnosis #management #cardiology