AFib - Diagnosis Flashcards
Risk Factors
Age
Male
Heart Failure
Hypertension
Diabetes
Obesity
Sleep Apnea
Drug Induced AF
Stimulants
Alcohol
Anti-Cancer Therapy
Bisphosphonate
Diagnosis
- ECG
Irregular rhythm
- Irregular Intervals
- Missing P Wave
- Narrow ARS Complex
Diagnosis
- Holter Monitoring
24 hour continuous monitoring
- Detects brief bouts of AF hidden between normal rhythms
Diagnosis
- Implantable Loop Recorder
Minimally invasive procedure
- Can record for up to 3 years
- For patients with rare symptoms
Diagnosis
- Echocardiogram
Transthoracic Echocardiogram
- Recommended for all patients
Identifies
- LA size
- LV hypertrophy
- LAA thrombus (Do Transesophageal Echo)
- Vascular heart disease
Diagnosis
- Chest X-Ray
Assess for acute infections or signs of heart failure
Paroxysmal AF
Continuous AF
- Lasts longer than 30 seconds
- Finishes before 7 days of onset
Persistient AF
Continuous AF
- Lasts longer than 7 days
- Finished before 1 year
“Longstanding” Persistent AF
Continuous AF
- Lasts longer than 1 year
- Rhythm control
Permanent AF
Continuous AF
- Lasts longer than 1 year
- NO rhythm control
- Medications to prevent further complication
Valvular AF
AF with any:
- Mechanical Heart Valve
- Moderate to severe mitral stenosis
Non-Valvular AF
AF without any:
- Mechanical Heart
- Moderate to severe mitral heart stenosis
Primary AF
Established pathophysiological process
- No precipitating cause
Secondary AF
Caused by a condition (Sepsis, surgery)
- Once condition is reversed symptoms will go away
