68. Rate control Bblockers , CCBs , digoxin are effective for rate control. Do not convert AF into NSR. C/I in pre excitation Amiodarone for both rate and rhythm control. Several side effects limits its use as first line drug. Choice of drugs depends upon the clinical presentation
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72. 0.25 mg /kg (15-20 mg ) given IV over 2 minutes.
143. “restoration of SR is a reasonable goal in patients who have a first time diagnosis of AF regardless of symptoms unless some indications shows that AF has been prsent for many years before identification…….” CARDIOLOGY CLINICS
268. WHAT DOES TRIALS SAY? AFFIRM trial : RACE trial : AF –CHF trial ALL reveal no change in mortality in both groups. Treatment is individuialised
269. AFFIRM trial : management of AF with the rhythm control strategy offers no survival advantage over the rate control strategy.anticoagualtion to be continued in this group of high risk patients . ATHENA trial :a trial with dronaderone to prevent hospitalisation or death in AF 400mg bid dose ANDROMEDA –european trial of dronedarone in moderate to severe CHF---400 mg bid CAFÉ trial : canadian AF evaluation study. SAFIRE –D study –doefetilide use in AF 500ug dose. CRAFT REL-Y TRIAL 110mg -150 mg of dabigatran. RECOVER –in dvt ROCKET AF –rivaroxaban EINSTEIN ---vte ATLAS ACS –in ACS
297. Ganong Samson and wright physiology Guyton www.emedicine.com www.aha.org www.atrialfibrillation.com And finally I landed up in AF ---DOCTORS SYMDROME….THANK YOU for your attention
298. Professor: define seminar Student :seminar is defined as process in which one spoils his sleep for one night in an effort to make others sleep.