Discover and read the best of Twitter Threads about #cardioversion
Most recents (2)
#AFib is the most common sustained heart rhythm problem in the world. 🌎
#AFib increases the risk of #stroke & #heartfailure. It causes symptoms like fatigue, dizziness & shortness of breath and can reduce patients’ quality of life.
There’s a bit of a loophole in the ACLS protocols that allows afib at its worst to get away with murder.
Let’s look at two scenarios and vote about a #cardioversion decision.
#Tachyarrhythmia #tweetorial
1/7
Let’s look at two scenarios and vote about a #cardioversion decision.
#Tachyarrhythmia #tweetorial
1/7
Scenario/poll 1:
70 yo, has severe aortic stenosis, admitted with pneumonia. She was eating dinner -> suddenly complained of palpitations then became unresponsive.
Preceding: BP 98/67, HR 90 in sinus.
Now: BP 48/30, HR 180s in a-fib, pulse very thready but palpable.
Do you:
70 yo, has severe aortic stenosis, admitted with pneumonia. She was eating dinner -> suddenly complained of palpitations then became unresponsive.
Preceding: BP 98/67, HR 90 in sinus.
Now: BP 48/30, HR 180s in a-fib, pulse very thready but palpable.
Do you:
Scenario/poll 2:
Same patient and history: severe aortic stenosis, admitted w pneumonia, sudden palpitations -> unresponsiveness.
VS earlier: BP 98/67, HR 90 in sinus.
Now: BP cuff not reading, HR 180s in a-fib, no convincing pulse.
Do you:
Same patient and history: severe aortic stenosis, admitted w pneumonia, sudden palpitations -> unresponsiveness.
VS earlier: BP 98/67, HR 90 in sinus.
Now: BP cuff not reading, HR 180s in a-fib, no convincing pulse.
Do you:
