Atrial Fibrilation Flashcards

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1
Q

Symptoms of AF

A

Palpitations, dyspnoea, chest pain

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2
Q

Signs of AF

A

Irregularly irregular pulse

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3
Q

First line treatment of AF

A

Beta blocker or rate-limiting calcium channel blocker

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4
Q

Second line treatment of AF

A

Combination of two of the following: betablocker, diltiazem or digoxin

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5
Q

When is rhythm controlled stratergy recommended for patients with AF

A

Coexistent heart failure, first onset AF, or where there is an obvious reversible cause

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6
Q

What situations can cardioversion be used

A

Emergency in haemodynamically unstable patients, or when rhythm control stratergy is preferred for that patient.

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7
Q

What is the treatment option for cardioversion if onset is within 48 hours

A

Heparinised patients, then given DC cardioversion, or pharmacological interventions

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8
Q

Pharmacology rhythm control options for patients with structural heart disease

A

Amiodarone

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9
Q

Pharmacological optinos for rhytm control in AF patients

A

Amiodarone or fleccainide

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10
Q

What is the treatment option for cardioversion if onset is after 48 hours

A

Anticoagulation given 3 weeks prior, or exclude left atrial appendage by TOE. Then electrical cardioversion is recommended

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11
Q

Management of haemodynamically stable patients if onset <48 hours

A

Rate or rhythm control

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12
Q

Management of haemodynamically stable patients if onset >48 hours

A

Rate control, if considered for long term rhythm control delay cardioversion until maintained on therapeutic anticoagulation for 3 weeks

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13
Q

Management of haemidynamically unstable patients

A

Electrical cardioversion

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