Atrial Fibrillation / Atrial Flutter/ Atrial Tach

Question 1

Where does A Fib often originate?

Answer 1

Pulmonary Veins

Question 2

Why is a TEE done prior to a PVI?

Answer 2

To ensure there is not a clot

Question 3

What is the mechanism of activation for Afib?

Answer 3

Multiple reentry circuit

Question 4

What is the goal of an A Fib RF procedure?

Answer 4

Entrance or exit blocks of the PV’s

Question 5

What mechanism is Atrial Flutter?

Answer 5

Macro reentry

Question 6

(+) P in II,III, aVF

Answer 6

Typical Clockwise

Question 7

(-) P in V1

Answer 7

Typical Clockwise

Question 8

(-) P in II, III, aVF

Answer 8

Typical Counter clockwise

Question 9

(+) P in V1

Answer 9

Typical Counter Clockwise

Question 10

How do you ablate for AFib?

Answer 10

From ventricular side of the tricuspid annulus across the cavotricuspid isthmus to IVC.

Question 11

P wave morphology differs from sinus P and a warm up and cool down?

Answer 11

Focal Atrial Tachycardia (FAT)

Question 12

At least 3 different p wave morphologies and a sudden onset

Answer 12

Multifocal Atrial Tachycardia (MAT)

Question 13

Normal P wave morphology and a gradual onset?

Answer 13

Inappropriate Sinus Tach (IST)

Question 14

V-A-A-V

Answer 14

Atrial Tachycardia

Question 15

Narrow Regular Cardioversion Energy

Answer 15

50-100J

Question 16

Narrow Irregular Cardioversion Energy

Answer 16

120J Biphasic or 200J Monophasic

Question 17

Wide irregular Cardioversion Energy

Answer 17

120-200 J biphasic or 300 J monophasic (not synchronized)

Question 18

Wide regular Cardioversion energy

Answer 18

100 J

Question 19

Common in young women and stress related?

Answer 19

Inappropriate sinus tach (IST)