AFIB

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Question 21

in afib Electrical cardioversion is synchronised

Answer 21

the R wave to prevent delivery of a shock during the vulnerable period of cardiac repolarisation when ventricular fibrillation can be induced

Question 22

if the onset of the arrhythmia is less than 48 hours

Answer 22

offer rate or rhythm control

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if the onset is more than 48 hours or is uncertain

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start rate control

Question 24

Following electrical cardioversion if AF is confirmed as being less than 48 hours the what is unnecessary ?

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further anticoagulation is unnecessary

Question 25

If the patient has been in AF for more than 48 hours then anticoagulation should be given for at least how many weeks prior to cardioversion

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at least 3 weeks

alternative strategy is to perform a transoesophageal echo (TOE) to exclude a left atrial appendage (LAA) thrombus

Question 26

If there is a high risk of cardioversion failure (e.g. Previous failure or AF recurrence after electrical ) then it is recommend to have at least

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4 weeks amiodarone or sotalol prior to electrical cardioversion

Question 27

Following electrical cardioversion patients should be anticoagulated for at least

Answer 27

4 weeks