Rob fib

Atrial Fibrillation…. Robert Minera D.O. PGY-IV ARMC Emergency Medicine

Atrial Fibrillation…. aka Pennington Syndrome Robert Minera D.O. PGY-IV ARMC Emergency Medicine

Epidemiology ,[object Object],[object Object],[object Object],[object Object],[object Object]

Signs and Symptoms ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Etiology/Risk Factors ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Differential Diagnosis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],SVT is a category, not a diagnosis!

ACC/AHA/ESC ,[object Object],[object Object],[object Object],[object Object]

Diagnostic Testing: EKG Narrow Complex Irregularly Irregular Rapid Ventricular Rate

Diagnostic Testing: TTE ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Chest X-Ray ,[object Object],[object Object],[object Object]

Management ,[object Object],[object Object],[object Object],[object Object]

Rate Control ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Rate Control (con’t) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Rhythm Control ,[object Object],[object Object],[object Object],[object Object]

Rhythm Control (con’t) ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Rate or Rhythm Control? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Anticoagulation and Cardioversion ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Anticoagulation – Long Term ,[object Object],Key Points Most patients, can wait 48 hours before starting 0-1 probably don’t need anticoagulation 5-6 should be bridged with heparin/LMWH Score Annual Stroke Risk % 0 1.9 1 2.8 2 4.0 3 5.9 4 8.5 5 12.5 6 18.2

Management – Unstable ,[object Object],[object Object]

Key Points ,[object Object],[object Object],[object Object],[object Object]

Rob fib

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Rob fib