AF

Question 1

Management of ill or unstable with atrial fibrillation

Answer 1

Emergency cardio version with 150J

Question 2

What is used 1st line for atrial fibrillation ?

Answer 2

Either Beta blocker or CCB

• bisoprolol or diltiazem

Question 3

What is used 2nd line for rate control in AF:

Answer 3

Any 2 of bisprolol, diltiazem or digoxin.

Question 4

WHat is used for rhythm control in AF if the person has structural heart disease?

Answer 4

Amiodarone

Question 5

What is used for rhythm control in AF if the person does not have structural heart disease
?

Answer 5

Flecainide. E.g. avoid flecainde if the person has structural heart disease (use 2nd line)

Question 6

What criteria need to be met for cardioversion?

Answer 6

Short duration of symptoms <48hours or otherwise they need to be anticoagulated for 3 weeks beforehand.

Question 7

What murmur gives you head bobbing?

Answer 7

Aortic regurgitation

Question 8

When should yous stop clopidogrel?

Answer 8

7 days before the procedure.

Question 9

When should you stop warfarin?

Answer 9

5 days before

Question 10

What shape is a PE on CXR?

Answer 10

Wedge shaped.

Question 11

What is the CHA2DS2VS score

Answer 11

Congestive HF = 1
Hypertension = 1
Age >/= 75 = 2
Age 65-74 = 1
Diabetes = 1
Stroke / TIA = 2
Vascular disease = 1
Sex = female 1

Question 12

How do you interpret the CHA2DS2VS score?

Answer 12

0 = no treatment 
1 = treat if male 
2 = anticoagulate.

Question 13

What do you use for rate control of AF if the person has heart failure?

Answer 13

Digoxin. OR carvedilol