Abdallah Othman

Abdallah Othman Cardiovisual Content 🇪🇬 | Pharmaceutical Industry Professional

07/12/2025

Atrial Fibrillation: Thromboembolic Risk and Integrated Management

Atrial fibrillation increases stroke risk 5-fold via left atrial stasis and dysfunction.
Direct oral anticoagulants (DOACs) are the cornerstone of evidence-based stroke prophylaxis.
Management is optimized through the integrated ABC pathway: Anticoagulation, Better symptom control, and Cardiovascular comorbidity optimization.

🚨 Hypertensive crisis management.
07/12/2025

🚨 Hypertensive crisis management.

07/12/2025

Bradycardia, Tachycardia & Irregular Arrhythmias ✨
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⚡ Bradycardia
➔ HR 100 bpm
🔹 Types: AFib, SVT, Ventricular tachycardia
🔹 Triggers: Caffeine, stress, heart disease

🌀 Irregular Arrhythmia
➔ AFib, VFib, PVCs
🔹 Red Flags: Palpitations, chest pain, fainting
🔹 Diagnosis: Holter monitor, ECG, EP study

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First-Line Therapy in High-Risk Hypertension – 2025 Update(ACC/AHA, ESC/ESH 2023–24, ADA 2024, KDIGO)Target BP
07/12/2025

First-Line Therapy in High-Risk Hypertension – 2025 Update
(ACC/AHA, ESC/ESH 2023–24, ADA 2024, KDIGO)

Target BP

07/12/2025

Coronary ischemia (STEMI) classically presents with:
• Prolonged (>20 min) substernal pressure/tightness/heaviness
• Radiation to left arm, neck, jaw, or back
• Dyspnea, nausea, or diaphoresis New ST-segment elevation = emergent reperfusion required.

Wide QRS Tachycardia1️⃣ Ventricular tachycardia (VT)2️⃣ SVT with aberrancy3️⃣ SVT with preexcitation (WPW)4️⃣ SVT with b...
07/12/2025

Wide QRS Tachycardia
1️⃣ Ventricular tachycardia (VT)
2️⃣ SVT with aberrancy
3️⃣ SVT with preexcitation (WPW)
4️⃣ SVT with baseline abnormal ECG
5️⃣ SVT with hyperkalemia
6️⃣ Ventricular pacing

06/12/2025

🚨 Know the Risk: Lown Grading System for PVCs & Ventricular Arrhythmias 📊
The Lown grading system stratifies Premature Ventricular Complexes (PVCs) by severity—higher grades indicate greater risk of ventricular tachycardia (VT) or fibrillation (VF).
📈 Lown Grades Simplified:
Grade 0: No PVCs ✅
Grade 1: Occasional (30/hour) ⚠️⚠️
Grade 3: Multiform (varying shapes) ❗
Grade 4: Repetitive
A: Couplets (2 consecutive PVCs) ❗❗
B: Salvos (≥3 PVCs) ❗❗❗
Grade 5: R-on-T Phenomenon (PVC on T-wave → high risk of VF!) 💥
Higher grade = Higher risk of life-threatening arrhythmias!
Grade 4B/Grade 5? Urgent intervention needed.

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06/12/2025

Acute chest pain

06/12/2025

The classic ECG triad of Wolff-Parkinson-White (WPW) syndrome:
✅ Short PR interval (120 ms)
All due to ventricular pre-excitation via an accessory pathway (Bundle of Kent). A must-know pattern for every clinician and cardiology trainee! ⚡️

06/12/2025

🚨CODE BLUE: Torsades de Pointes vs. Ventricular Fibrillation

PEA: Reversible Causes (H's & T's)Organized cardiac electrical activity without palpable pulse.
06/12/2025

PEA: Reversible Causes (H's & T's)
Organized cardiac electrical activity without palpable pulse.

Sinus Tachycardia vs. Ventricular Tachycardia: A Critical Distinction🫀 Sinus Tachycardia· Origin: Sinoatrial (SA) node.·...
05/12/2025

Sinus Tachycardia vs. Ventricular Tachycardia: A Critical Distinction

🫀 Sinus Tachycardia

· Origin: Sinoatrial (SA) node.
· Physiology: Appropriate physiological response. Normal electrical pathway, simply accelerated.
· ECG Hallmark: Normal P waves followed by narrow QRS complexes (≤0.12 sec).
· Management: Treat the underlying cause (e.g., hypoxia, pain, hypovolemia). Never cardiovert.

⚡ Ventricular Tachycardia (VT)

· Origin: Ventricular myocardium (foci below the AV node).
· Physiology: Pathological, life-threatening arrhythmia. Ventricles depolarize independently.
· ECG Hallmark: Wide, bizarre QRS complexes (>0.12 sec); often no discernible P waves.
· Management:
· Unstable (hypotension, shock): Immediate synchronized cardioversion.
· Stable: IV antiarrhythmics (Amiodarone or Procainamide).

Key Takeaway: The QRS width and clinical stability guide diagnosis and urgent intervention.

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EPOFORM INDICATIONS Treatment of anemia due to concomitant myelosuppressive chemotherapy in patients with nonmyeloid malignancies; anemia due to chronic kidney disease in dialysis and nondialysis patients to decrease the need for RBC transfusion,Zidovudine-Treated HIV-Infected Patient.