Arrhythmias

Question 1

What tools would you use to assess stroke risk

Answer 1

CHA2DS2-VAS

Question 2

How would you treat acute atrial fibrillation WITH life threatening haemodynamic instability

Answer 2

Rhythm control
- Electric cardioversion
(achieves anticoagulation)

Question 3

How would you treat acute atrial fibrillation WITHOUT life threatening haemodynamic instability
(<48 hour onset)

Answer 3

Rate Control (pharmacological)

or

Rhythm Control
(pharmacological or electric)

Question 4

How would you treat acute atrial fibrillation WITHOUT life threatening haemodynamic instability
(>48 hour onset)

Answer 4

Rhythm control

Question 5

What drugs are used for pharmacological rhythm control

Answer 5

• Amiodarone
• Flecanide

Question 6

Atrial fibrillation 1st Line maintenance therapy

Answer 6

1st Line:

• BB (not sotalol)
  or
• Rate limiting CCB
  or
• Digoxin (only in sedentary non-paroxymal AF)

Question 7

Atrial fibrillation 2nd Line maintenance therapy

Answer 7

2nd Line:

Dual therapy from first line choices

Question 8

Atrial fibrillation 3rd Line maintenance therapy

Answer 8

3rd Line:
Rhythm control

-pharmacological (Amiodarone/flecanide)

• electrical

Question 9

What drug needs to be administered during and after Electrical cardioversion

Answer 9

During:
IV anticoagulant

After (for at least 4 weeks):
- oral anticoagulant