Afib Flashcards
Afib ablation
Complications 3-5%
Afib
Young patients with symptomatic afib
Try flecanide if bb fail
Afib
Mody common persistent rythm
20% of strokes in elderly
Afib
Avoid RV pacing
Weight reduction
Helps afib
By 50%
Atrial fibrosis increase with
Duration of afib
Stroke
La thrombosis 90% laa
Over all embolic risk 2-5% a year
Anticoagulate
HOCM amyloid rheumatic
Chad
0 no anti coag
1 no, Asa, or Coumadin or others
2 or more oral anti coag
Coumadin on target
60-70%
And only 60% need actually receive it
Dabi
Don’t use in RF
Direct thrombin inhibitor
Rivaroxaban
Oral Xa blocker
Don’t use in RF hepatic or cyp3A4 blockers
Apicaban
Lowest risk
Don’t use in rf or hepatic no data
Non dialyzable
Afib ablation
Only for symptoms
You still need to anti coagulate
Ablation phrenic nerve injury
With cryo