Arrhythmias Flashcards

1
Q

What is Atrial Fibrillation?

A

AF is where the heart beats abnormally fast

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

How is AF managed?

A

Management involves either rate or rhythm control

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

What should be assessed for patients with AF?

A

Assess risk of stroke and VTE (Venous thromboembolism)

Annual review for risk of bleeding, strokes and anti coagulation.

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

What treatment would be used for new onset of AF with hemodynamic instability?

A

Emergency electrical cardioversion without anticoagulation

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

What treatment would be given to patient with No haemodynamic instability?

A

Can be treated by Rate control or rhythm control.

Rate control preferred if patient presents with AF for more than 48hrs or is uncertain.

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

Pharmacological Cardioversion methods

A
  • IV Amiodarone or Flecainide
  • Urgent control needed then IV beta blocker or Verapamil can be given
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What is the risk of stroke assessment called?

A

CHA2DS2 VASC assessment

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

What risk factors are included in the CHA2DS2 VASC assessment?

A

Congestive Heart failure
Hypertension
Age (75 or over) x2
Diabetes
previous ischaemic Stroke/ Transient ischaemic attacks x2
Vascular disease
Age (65-74)
Sex Category (female)

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

What score in CHA2DS2 VASC requires no treatment

A

0 for men

1 for women

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What do the other scores in CHA2DS2VASC mean

A

Score of 1 in men: consider DOAC
Taking bleeding risk into account

Score of 2 or higher in men/women: Offer DOAC (if contraindic: warfarin)
Taking bleeding risk into account

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