AF

Question 1

pt is haemodynamically unstable

Answer 1

electrocardioversion

Question 2

drugs to pharmacologically cardiovert - rhythm control

Answer 2

1. amiodarone

2. flecainide ( no structural heart disease )

Question 3

Mx of patient with AF who have had a stroke

Answer 3

1. start warfarin/direct thrombin or factor 10 inhibitors

2. within 2 wee

Question 4

rate control with AF

Answer 4

1. beta blcokers
2. calcium channel blockers
3. digoxin - preferred with coexising HF

Question 5

Catheter ablation

Answer 5

1. for patients not repsonding to antiarrythmics
2. start anticoagulation 4 weeks prior
3. keep them on anticoagulation because restoring sinus rhythm does not reduce stroke risk