AF Flashcards
What are causes of AF
Idiopathic CHD Vascular disease Hypertension Acute infection Alcohol MI Pericarditis PE Hyperthyroid
What is seen on ECG for AF?
Narrow QRS
Absent P waves
What scoring system is used in AF?
CHADS2 VASC
What does CHADS2VASC stand for and how is it scored?
Congestive heart failure -1 Hypertension -1 Age -65-74-1 and >75-2 Diabetes -1 Stroke/TIA-1 Sex F-1 Vascular Disease/IHD -1
What are relevant scores in CHADS2vasc?
1= in males treat 2= females treat
Whats CHADS2Vasc used for?
Assess risk of stroke in AF
What score is used to assess bleeding risk in those on anticoagulants?
HAASBLED
What is in HAASBLED?
Hypertension Abnormal renal function Abnormal liver function Alcohol >8 units Stroke Bleeding history Labile INR Elderly Drugs (antiplatelet/NSAIDs)
How do you treat those over 65 with AF?
BBs
CCBs (Digoxin)
=rate control
How do you treat those with IHD and AF?
BBs
CCBs (Digoxin)
=rate control
How do you treat those under 65 with AF?
Rhythm control using Sotalol, Amiodarone or Flecanide
How do you treat those with CCF and AF ?
Rhythm control using Sotalol, Amiodarone or Flecanide
Who do you anticoagulate in those with AF?
Men over CHADS2Vasc score of 1, and women 2
What to you anticoagulate with in AF?
Apixabam
Dabigatran
Warfarin
When is left atrial ablation offered?
if drug treatment failed
