AF Flashcards
1
Q
What are the common examination findings?
A
May be SOB
Irregularly irregular pulse NB - signs of hyperthyroidism
2
Q
What are the investigations?
A
To finish the exam i would like to - Fundoscopy, respiratory exam, and Peripheral arterial exam,urinalysis and BP
By the bed - History and obs.
Bloods - FBC, U/E, TFTs
Other - ECG
3
Q
What are the key investigation findings?
A
ECG shows AF (no p wave, irregularly irregular)
TFTs may show hyperthyroidism
4
Q
What is the treatment?
A
Immediate
Cardiovert if signs of heart failure
Rate limiter - B blocker or digoxin
Rhythm control - Amioderone of flecanide
Long term
CHADVAS for anticoagulate
Consider LMWH
DC cardiovert if unstable
5
Q
What are the risk factors?
A
Hypertension
Hyperthyroid
IHD
Valvular disease
Alcohol
