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Atrial Fibrillation . By Mark Hanna . What is it? . Arrhythmia Quivering AKA: Afib, AF . Common or Not . Normal Hearts Heart Disease Hypertension Disease Coronary Heart Disease (CHD) . Other Risk Factors . Hyperthyroidism Abnormal Muscle Function

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Presentation Transcript
atrial fibrillation

Atrial Fibrillation

By Mark Hanna

what is it
What is it?

Arrhythmia

Quivering

AKA: Afib, AF

common or not
Common or Not
  • Normal Hearts
  • Heart Disease
    • Hypertension Disease
    • Coronary Heart Disease (CHD)
other risk factors
Other Risk Factors
  • Hyperthyroidism
  • Abnormal Muscle Function
  • Chronic Obstructive Pulmonary Disease (COPD)
  • Inflammation
  • Alcoholism
  • Stimulant Drugs
  • Any other stress
demographics
Demographics
  • A study: “ATRIA study”
    • 1.9 million subjects
    • AF occurred in 1% of population
    • 65 or older= 70%
    • 75 or older= 45%
demographic summary
Demographic Summary
  • Should you be worried?
    • Male
    • White
    • Old
how the heart works
How the Heart Works
  • Sinoatrial Node (SA)
  • Atrioventrical Node (AV)
  • Problems?
symptoms
Symptoms

Palpitations

Heart racing

Fatigue

Lightheadedness

Shortness of Breath

Chest pains

Hypotension

Heart attack/Embolism/Stroke

complications
Complications

Inefficient Heart Function

Loss of Synchrony

Pooling of blood in Atria

Heart failure

Thrombosis

Stroke

Virchow triad

treatment
Treatment

Classifying

Evaluating

Treating

classifying
Classifying

Paroxysmal

Persistent

Permanent

Lone

evaluating
Evaluating

History and Physical Exam

Responsiveness to drugs and Tests

Presence of Heart disease

evaluating ekg
Evaluating: EKG

Electrocardiogram (ECG)

P-Q

Q-T

prevention
Prevention

Keeping away from stimulants and stressors

Blood pressure

Hyperthyroidism controlled

Controlling disease

treatments and issues
Treatments and Issues

Rhythm vs Rate Control

Choosing what to focus on

Prevention of Embolism

Other Solutions

references
References

http://www.medicinenet.com/atrial_fibrillation/page5.htm

http://www.uptodate.com/contents/overview-of-the-evaluation-and-management-of-atrial-fibrillation?source=search_result&selectedTitle=1~150

http://www.uptodate.com/contents/overview-of-the-evaluation-and-management-of-atrial-fibrillation?source=search_result&selectedTitle=1%7E150

http://www.uptodate.com/contents/presentation-and-management-of-new-onset-atrial-fibrillation?source=see_link

http://www.uptodate.com/contents/epidemiology-of-and-risk-factors-for-atrial-fibrillation?source=see_link

http://www.aafp.org/afp/980800ap/dello.html

http://en.wikipedia.org/wiki/Atrial_fibrillation

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