Arrhythmias Flashcards

1
Q

Atrial Fibrillation

A

-Definition
Lone (single episode)

Paroxysmal (comes & goes)

Persistent (more than 7 days)

Permanent (chronic; sustained)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Afib Managment

A

-HR control
-AC
-Cardioversion +/- TEE
-Rhythm control
-Ablation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

AC Post Cardioversion

A

-MI stunning occurs
-AC for minimum 4-6 weeks
-F/up outpatient
-May stop ATC if can prove sustained SR and low risk

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Afib management w/ rate control

A

-BB: metoprolol, Atenolol, Esmolol
-CCB: Diltiazem
-Digoxin (alone is adequate)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Afib management with rhythm control

A

-Amiodarone
Dofetilide
Dronederone
Flecainide
Propafenone
Sotalol
-EP consult
-Cardioversion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Afib management with procedures

A

-Ablation
-AV node ablation with pacemaker
-Surgical MAZE procedure
-LAAL: This is done during CABG

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Other management of Afib

A

-Check thyroid function
-Treat underlying cause (infection)
-Reduce post op stress
-Modify triggers (etoh, tobacco, drugs, caffeine, stress)
-Weight loss
-Treat HTN, HF, MI, Valve disease
-Screen for OSA

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Aflutter Tx

A

Adenosine- ACLS
Agents for heart rate contol
Anticoagulation
Cardioverion (+/- TEE)
If sustained Atrial Flutter, consult Electrophysiology to consider Ablation
Cavotricuspid Isthmus (CTI) Ablation is most common

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Wolf-Parkinson White Syndrome

A

-Accessory pathway mediated tachycardia (pre-excitation)
-Tx:
Amiodarone
Procainamide
Consult EP to consider ablation
*NO ADENOSINE (if in AF), DIGOXIN OR AV NODAL BLOCKING AGENTS!!!

How well did you know this?
1
Not at all
2
3
4
5
Perfectly