Arrhythmia

Question 1

Anticoagulations scoring system […]

Answer 1

CHADS2 VA2S
CHF
HTN
Age (65-74)
DM
Stroke/TIA
Vascular
Age (>75)
Sex (F)

Score >1-2 : warfarin or NOACs for life time
(Unless its 1 for Female)

Question 2

Duration of anticoagulation indicated for AFib with CHADS2 VA2S score >1

Answer 2

Life time

Question 3

When Warfarin is preferred over NOACs?

Answer 3

• Valvular heart disease “MS”
• Prosthetic valve
• Anti phospholipid syndrome
• GIB high risk

Question 4

In the management of AFib
If patient is hemodynamically unstable

Answer 4

DC cardioversion
Electrical

Question 5

In the management of AFib
If patient is hemodynamically stable

Answer 5

Rate control
ß-blocker, CCB

Question 6

In the management of AFib
After rate controlled

Answer 6

TEE
If thrombus + : anticiagulate 3 weeks before Cardioversion and 4 weeks after
If thrombus - : cardioversion

Question 7

What is pharmacologic cardioversion?

Answer 7

Amiodarone
Procainamide

Question 8

In the management of SVT
If patient is hemodynamically unstable

Answer 8

DC cardioversion

Question 9

In the management of SVT
If patient is hemodynamically stable

Answer 9

Vagal maneuvers
If failed
IV adenosine

Question 10

Tachyarrhythmias with narrow QRS

Answer 10

• Aterial Fibrillation
• Atrial Flutter
• PSVT
• MAT
• WPW syndrome

Question 11

Tachyarrhythmias with wide QRS

Answer 11

VT
VF
Torsades de pointes

Question 12

Symptomatic bradycardia treatment :

Answer 12

IV Atropin