Atrial fibrillation
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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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Atrial Fibrillation

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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

  • Chronic Obstructive Pulmonary Disease (COPD)

  • Inflammation

  • Alcoholism

  • Stimulant Drugs

  • Any other stress


Demographics

  • A study: “ATRIA study”

    • 1.9 million subjects

    • AF occurred in 1% of population

    • 65 or older= 70%

    • 75 or older= 45%


Demographics


Demographic Summary

  • Should you be worried?

    • Male

    • White

    • Old


How the Heart Works

  • Sinoatrial Node (SA)

  • Atrioventrical Node (AV)

  • Problems?


Symptoms

Palpitations

Heart racing

Fatigue

Lightheadedness

Shortness of Breath

Chest pains

Hypotension

Heart attack/Embolism/Stroke


Complications

Inefficient Heart Function

Loss of Synchrony

Pooling of blood in Atria

Heart failure

Thrombosis

Stroke

Virchow triad


Treatment

Classifying

Evaluating

Treating


Classifying

Paroxysmal

Persistent

Permanent

Lone


Evaluating

History and Physical Exam

Responsiveness to drugs and Tests

Presence of Heart disease


Evaluating: EKG

Electrocardiogram (ECG)

P-Q

Q-T


EKG…


Prevention

Keeping away from stimulants and stressors

Blood pressure

Hyperthyroidism controlled

Controlling disease


Treatment Overview


Treatments and Issues

Rhythm vs Rate Control

Choosing what to focus on

Prevention of Embolism

Other Solutions


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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