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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 ... Decompensated HF ... Noncardiac: • Pulmonary ... #Fibrillation #Cardiology ... #Management #Algorithm
Multifocal Atrial Tachycardia (MAT)
• At least 3 different P wave morphologies: 
• Rate 100-180
• Irregular 
Etiology
Multifocal Atrial ... Secondary to chronic lung ... • Hypoxia • Pulmonary ... #Multifocal #Atrial ... Tachycardia #MAT #Cardiology
Treatment of Stable Narrow-Complex Tachycardia
Regular Rhythm:
 • Attempt vagal maneuvers
 • Give adenosine 6 milligrams IV
with caution in pulmonary ... disease or CHF) ... disease or CHF) ... Tachycardia #Treatment #management ... #cardiology #algorithm
Heart Failure with Preserved Ejection Fraction: Management Principles

General Therapeutic Principles:
Reduce the congestive state 
 - Caution
Ejection Fraction: Management ... relevant Maintain atrial ... sinus rhythm in atrial ... hypertension, pulmonary ... #Cardiology #HFpEF
Ground Glass Opacities on Lung CT - Pathophysiology
Ground glass opacity lung is denser (whiter) than normal
CT - Pathophysiology ... glass opacity lung ... caused by the partial ... #pulmonary #ChestCT ... Pathophysiology #Radiology
Hampton hump is a radiologic sign which consists of a shallow wedge-shaped opacity in the periphery
periphery of the lung ... confirmed with chest CT ... #photo #CXR #EmergencyMedicine ... #CriticalCare #Radiology ... #Cardiology #HamptonHump
Radiation Dose to Adults from Common Imaging Examinations
ABDOMINAL REGION
 - Computed Tomography (CT) — Abdomen and
(IVP) 3 mSv 1 year ... ) — Lung Cancer ... Scoring 3 mSv 1 year ... #PatientInfo #Radiology ... Imaging #ChestXRay #CXR
Right-Sided Heart Failure - Differential Diagnosis Algorithm
Cardiac Causes - Rule out Left-Sided Heart Failure (Most Common):
• Diffuse Lung ... • Chronic Lung ... Arterial Hypertension ... Veno-Occlusive Disease #RHF ... #HeartFailure #Cardiology
Stage I - Redistribution
In a normal chest film with the patient standing erect, the pulmonary vessels
supplying the upper lung ... supplying the lung ... during a period of CHF ... #Clinical #Radiology ... #CXR #CHF #Cephalization
Polo Mint Sign on Chest CT
 • Partial filling defect in a blood vessel surrounded by
Sign on Chest CT ... • Partial filling ... a rim contrast material ... #Lung #Pulmonary ... #diagnosis #radiology