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This is ATRIAL FIBRILLATION. Fibrillating right atria and rapid ventricular response.
Pulmonary vein isolation was performed and
This is ATRIAL FIBRILLATION ... Fibrillating right ... atria and rapid ... Pulmonary vein isolation
Atrial Fibrillation Overview

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

1. Why?
Cardiac:
• Valvular heart disease
•
Atrial Fibrillation ... Palpitations, light-headedness ... Noncardiac: • Pulmonary ... Rate Control • ... #Fibrillation #
Multifocal Atrial Tachycardia (MAT)
• At least 3 different P wave morphologies: 
• Rate 100-180
• Irregular 
Etiology
Multifocal Atrial ... morphologies: • Rate ... • Hypoxia • Pulmonary ... Management • Oxygen ... #Multifocal #Atrial
Atrial Fibrillation (A-Fib) Summary

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

Why?
Cardiac:
	• Valvular heart
Atrial Fibrillation ... Palpitations, light-headedness ... Noncardiac: • Pulmonary ... Fibrillation - ... #Fibrillation #
Right Heart Catheterization Cheat Sheet: Interpretation of Pressures and Waveforms 
Direct measurements
 ● Central venous pressure
(PAp) ● Pulmonary ... – CVP]/CO) ● Pulmonary ... SVI = CI/heart rate ... SVI x 0.136) ● Oxygen ... Hb x SaO2) ● Oxygen
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
flutter, ectopic atrial ... with caution in pulmonary ... fibrillation or ... possible atrial ... with caution in pulmonary
Oxygen-Hemoglobin Dissociation Curve

Left Shift (↓ O2 unloading to tissue), Left = Lower:
 • ↓ H+ (↑
Oxygen-Hemoglobin ... Temperature Right ... MatthewHoMD #Oxygen ... Dissociation #Curve #pathophysiology ... #pulmonary #respiratory
Digoxin 101 - Pharmacology
Indications:

1) Tachyarrhythmias 
 • Atrial Fibrillation, Atrial Flutter, Supraventricular Tachycardias
 • ↑ Vagal
Digoxin 101 - Pharmacology ... Tachyarrhythmias • Atrial ... Fibrillation, Atrial ... nodal delay (ie rate ... thematttsai #Digoxin #Pharmacology
Abnormal Jugular Venous Pressure Waveforms - Differential Diagnosis
 - Absent a wave - Atrial fibrillation, sinus
fibrillation, sinus ... Tricuspid stenosis, right ... atrial myxoma, ... pulmonary hypertension ... Tricuspid stenosis, right
Hypoxia and Hypoxemia - Overview
Hypoxia - insufficient oxygen delivered to tissues to meet demands
Hypoxemia - low
dissolved in arterial ... hemoglobin in arterial ... content of arterial ... Hypoxemia #summary #pulmonary ... diagnosis #causes #pathophysiology