Atrial Fibrillation

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Atrial Fibrillation

• By Mark Hanna

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What is it?

• Arrhythmia
• Quivering
• AKA Afib, AF

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Common or Not

• Normal Hearts
• Heart Disease
• Hypertension Disease
• Coronary Heart Disease (CHD)

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Other Risk Factors

• Hyperthyroidism
• Abnormal Muscle Function
• Chronic Obstructive Pulmonary Disease (COPD)
• Inflammation
• Alcoholism
• Stimulant Drugs
• Any other stress

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Demographics

• A study ATRIA study
• 1.9 million subjects
• AF occurred in 1 of population
• 65 or older 70
• 75 or older 45

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Demographics
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Demographic Summary

• Should you be worried?
• Male
• White
• Old

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How the Heart Works

• Sinoatrial Node (SA)
• Atrioventrical Node (AV)
• Problems?

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Symptoms

• Palpitations
• Heart racing
• Fatigue
• Lightheadedness
• Shortness of Breath
• Chest pains
• Hypotension
• Heart attack/Embolism/Stroke

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Complications

• Inefficient Heart Function
• Loss of Synchrony
• Pooling of blood in Atria
• Heart failure
• Thrombosis
• Stroke
• Virchow triad

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Treatment

• Classifying
• Evaluating
• Treating

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Classifying

• Paroxysmal
• Persistent
• Permanent
• Lone

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Evaluating

• History and Physical Exam
• Responsiveness to drugs and Tests
• Presence of Heart disease

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Evaluating EKG

• Electrocardiogram (ECG)
• P-Q
• Q-T

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EKG
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Prevention

• Keeping away from stimulants and stressors
• Blood pressure
• Hyperthyroidism controlled
• Controlling disease

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Treatment Overview
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Treatments and Issues

• Rhythm vs Rate Control
• Choosing what to focus on
• Prevention of Embolism
• Other Solutions

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References

• http//www.medicinenet.com/atrial_fibrillation/pag
  e5.htm
• http//www.uptodate.com/contents/overview-of-the-e
  valuation-and-management-of-atrial-fibrillation?so
  urcesearch_resultselectedTitle1150
• http//www.uptodate.com/contents/overview-of-the-e
  valuation-and-management-of-atrial-fibrillation?so
  urcesearch_resultselectedTitle17E150
• http//www.uptodate.com/contents/presentation-and-
  management-of-new-onset-atrial-fibrillation?source
  see_link
• http//www.uptodate.com/contents/epidemiology-of-a
  nd-risk-factors-for-atrial-fibrillation?sourcesee
  _link
• http//www.aafp.org/afp/980800ap/dello.html
• http//en.wikipedia.org/wiki/Atrial_fibrillation