Hospital Medicine   

Would you then opt for double vector DCCV to deliver 2, 360J shocks simultaneously, and/or bolus with amiodarone? 

If plan for ICD implantation, when would be the best timing to perform this? 

Does the “48-hr” criteria reset itself after the patient reverts back into atrial fibrillation? 

If these patients were already prescribed non-selective beta blockers outpatient, do you recommend withholding these medications in the acute phase?&n...

Do you increase rivaroxaban to 10 mg daily during the inpatient stay, or do you prefer to add LMWH or SC heparin?

Would your threshold to consider a device be lowered if their LVEF was also severely reduced? 

Watchman device deployed with therapeutic ACT but required multiple recaptures. Patient went into afib during the procedure and after final deployment...

Would the context of prior stroke/TIA impact the decision to hospitalize or pursue expedited outpatient evaluation?

Butler et al., PMID 38587237

Kunadian, et al., PMID 39225274

Hendriks, et al., PMID 38576380

REDUCE-AMI trial

Levi et al., PMID 38551563

Does your preferred dose change if this were in a non-ACS setting with elective outpatient PCI? 

Is there a percent change in QTc in which you would consider stopping amiodarone, especially in patients who have baseline wide QRS complexes? 

In the span between the HACA trial and the Targeted Temperature Management in Out-of-Hospital Cardiac Arrest study (Dankiewicz et al., PMID 34133859),...

If delayed complete revascularization is favored, would you consider staged PCI during that same admission or PCI outpatient? 

Do you include the amount of IV amiodarone already administered as part of the loading dose? 

If LHC is deferred, would you consider loading with plavix and treating for ACS for 48 hours (assuming acceptable bleeding risk) and optimizing GDMT p...

If PPCM is suspected, what are your targeted hemodynamic goals during the delivery phase? 

For the first time in my 27-year career, I was asked to consult on a patient in his early 40s with immersion pulmonary edema from scuba diving. &...

While the current guidelines favor early surgery (within 48 hrs of diagnosis) for this population based on the results of the EASE trial (link attache...

Do you favor awake intubation in these cases?

Is there literature to support superiority of levophed over dobutamine, or vice versa? 

The EVEREST Outcome trial (Konstam et al., PMID 17384437)

If so, how frequently should we measure iron saturation/ferritin levels post-iron infusion?

E.g. in a patient with tenuous cardiac function, would starting treatment several weeks earlier potentially improve outcomes?

Please comment on temperature recommendations and role of exchange transfusion.