AF Management

Question 1

What are the scores used for deciding whether to anticoagulate in AF?

Answer 1

CHA2DS2VAS

HASBLED

Question 2

What does CHA2DS2VAS stand for?

Answer 2

CCF; Hypertension; age >75; diabetes; stroke; Vascular disease; age <65; sex (female)

Question 3

What does HASBLED stand for?

Answer 3

Hypertension; abnormal liver/renal function; stroke (haemorrhage); bleeding; labile INRs; Elderly; Drugs

Question 4

What are the principals of controlling AF?

Answer 4

Rate control
Anticoagulation
(Rhythm control rarely indicated)

Question 5

What are the symptoms of AF?

Answer 5

Patient may feel palpitations if paroxysmal
- may have syncope

Be be chronic - not be in AF with extremely fast ventricular response - may be asymptomatic ???? CHECK THIS

Question 6

When would DC cardioversion be indicated?

Answer 6

Onset <48 hours
Haemodynamically unstable with pulse >150
SBP<90

Question 7

What dose of bisoprolol and dabigatran may be used?

Answer 7

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Question 8

When would it be appropriate to pharmologically cardiovert?

Answer 8

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