Atrial Fibrillation

Question 1

What do you use to determine whether the patient needs Anticoagulants and what does this consist of?

Answer 1

CHA2DS2VASC-
Congestive Heart Failure

Hypertension

Age - >75

Diabetes Mellitus

Stroke, transient ischaemic attack /
thromboembolism

Vascular Disease (prior MI, PVD or aortic atherosclerosis)

Age 65-74

Sexual Category (f)

Question 2

In AF, if a CHA2DS2-VASc score suggests no need for anticoagulation, what do you need to do!

Answer 2

ECHOCARDIOGRAM

do an echo to exclude valvular heart disease

Question 3

CHADSVASC score indication, and what does it mean it terms of anticoagulation

Answer 3

Score Anticoagulation
0 No treatment

1 Males: Consider anticoagulation
Females: No treatment (this is because their score of 1 is
only reached due to their gender)

2 or more Offer anticoagulation

Question 4

What are the agents with proven efficacy in the pharmacological cardioversion of atrial fibrillation

Answer 4

amiodarone + flecainide

these drugs will cardiovert back to sinus rhythm (normal rhythm)