Arrythmia an der University Of Hertfordshire | Karteikarten & Zusammenfassungen

Lernmaterialien für Arrythmia an der University of Hertfordshire

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TESTE DEIN WISSEN

What is the aim of treatment?

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TESTE DEIN WISSEN

Reduce symptoms (SAD palpitation)

 

Prevent complication (Stroke)

 

All patients with AF need to be assessed for risk of stroke and thromboembolism

Lösung ausblenden
TESTE DEIN WISSEN

How is new onset AF managed in life-threatening haemodynamic instability?

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TESTE DEIN WISSEN

Life threatening haemodynamic instability caused by new onset AF

 

Give rhythm control (electric cardioversion  is preferred over rhythm control drugs)


Give IV parenteral anticoagulants
Lösung ausblenden
TESTE DEIN WISSEN

What causes arrhythmias?

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TESTE DEIN WISSEN

Coronary heart disease (Angina, MI)

Heart valve disease

Hypertension

Ageing

Cardiomyopathy

Ageing

Congenital abnormalities in electrical pathways (usually from birth)

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TESTE DEIN WISSEN

 What are the symptoms of arrhythmias?

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TESTE DEIN WISSEN

Shortness of breath

Abnormally fast, slow or irregular pulse

Dizziness or feeling faint

Palpitations

 

SAD palpitation

Lösung ausblenden
TESTE DEIN WISSEN

How is CHA2DS2-VASc tool used to calculate stroke risk?

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TESTE DEIN WISSEN

CHA2DS2-VASc 

 

CHF (heart failure)          1  

Hypertension                   1

Age 75 or more                2

Diabetes                            1

Stroke                                2

Vascular Disease             1

Ae 65 - 74                          1

Sex Category (female)    1

 

A score above 0 for men and a score above 1 for female indicate that an anticoagulant is needed.

 

The vascular disease could be previous MI, peripheral arterial disease or aortic plaque.

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TESTE DEIN WISSEN

How is HAS-BLED tool used to calculate bleeding risk?

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HAS BLED

 

Hypertension                                                1

Abnormal renal or liver function                1 or 2

Stroke                                                             1

Bleeding                                                         1

Labile INRs                                                    1

Elderly (>65 years)                                       1

Drugs or alcohol                                           1

 

A score of 0 - 2 indicates a low risk of bleeding, a score of 3 or high indicates a high risk of bleeding

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TESTE DEIN WISSEN

What are the treatments for rhythm control?

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TESTE DEIN WISSEN

Pharmacological cardioversion (Drugs) and electric cardioversion are used for rhythm control

 

1st line is Pharmacological cardioversion

Beta blocker (sotalol can be used)

Lösung ausblenden
TESTE DEIN WISSEN

What drugs are you used in rate control of AF (1st line drug treatment strategy)

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TESTE DEIN WISSEN
  • Beta blockers (not sotalol)
  • Verapamil
  • Diltiazem

Give as monotherapy. But combine if monotherapy fails to control rate.

 

1st line treatment is treating abnormal heart rate first then treating rhythm if necessary

Lösung ausblenden
TESTE DEIN WISSEN

If beta blocker fails to control rhythm control what can be used instead?

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TESTE DEIN WISSEN
  • Flecainide
  • Amiodarone (high risk drug)
  • Other drugs (sotalol, propafenone and dronedarone)

 

Memory trick: FAB rhythm  (Flecainide, Amiodarone, Betablocker)

Lösung ausblenden
TESTE DEIN WISSEN

How is bleeding risk and stroke risk assessed for patients with AF?

Lösung anzeigen
TESTE DEIN WISSEN

Stroke risk

CHA2DS2-VASC

 

Bleeding risk

HAS-BLED 

Lösung ausblenden
TESTE DEIN WISSEN

What is arrhythmia?

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TESTE DEIN WISSEN

Abnormal heart rate and rhythm

 

Resting heart rate above 100 or below 60 is considered as abnormal.

Lösung ausblenden
TESTE DEIN WISSEN

How is a new onset of AF managed in non-life threatening haemodynamic instability?

Lösung anzeigen
TESTE DEIN WISSEN

If less than 48 hours then give rate or rhythm control 

 

If onset is unknown or over 48hours then rate control is preferred

 

Caution with rhythm control via electric shocks as this can cause strokes make sure the patient is on an anticoagulant

Lösung ausblenden
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Q:

What is the aim of treatment?

A:

Reduce symptoms (SAD palpitation)

 

Prevent complication (Stroke)

 

All patients with AF need to be assessed for risk of stroke and thromboembolism

Q:

How is new onset AF managed in life-threatening haemodynamic instability?

A:

Life threatening haemodynamic instability caused by new onset AF

 

Give rhythm control (electric cardioversion  is preferred over rhythm control drugs)


Give IV parenteral anticoagulants
Q:

What causes arrhythmias?

A:

Coronary heart disease (Angina, MI)

Heart valve disease

Hypertension

Ageing

Cardiomyopathy

Ageing

Congenital abnormalities in electrical pathways (usually from birth)

Q:

 What are the symptoms of arrhythmias?

A:

Shortness of breath

Abnormally fast, slow or irregular pulse

Dizziness or feeling faint

Palpitations

 

SAD palpitation

Q:

How is CHA2DS2-VASc tool used to calculate stroke risk?

A:

CHA2DS2-VASc 

 

CHF (heart failure)          1  

Hypertension                   1

Age 75 or more                2

Diabetes                            1

Stroke                                2

Vascular Disease             1

Ae 65 - 74                          1

Sex Category (female)    1

 

A score above 0 for men and a score above 1 for female indicate that an anticoagulant is needed.

 

The vascular disease could be previous MI, peripheral arterial disease or aortic plaque.

Mehr Karteikarten anzeigen
Q:

How is HAS-BLED tool used to calculate bleeding risk?

A:

HAS BLED

 

Hypertension                                                1

Abnormal renal or liver function                1 or 2

Stroke                                                             1

Bleeding                                                         1

Labile INRs                                                    1

Elderly (>65 years)                                       1

Drugs or alcohol                                           1

 

A score of 0 - 2 indicates a low risk of bleeding, a score of 3 or high indicates a high risk of bleeding

Q:

What are the treatments for rhythm control?

A:

Pharmacological cardioversion (Drugs) and electric cardioversion are used for rhythm control

 

1st line is Pharmacological cardioversion

Beta blocker (sotalol can be used)

Q:

What drugs are you used in rate control of AF (1st line drug treatment strategy)

A:
  • Beta blockers (not sotalol)
  • Verapamil
  • Diltiazem

Give as monotherapy. But combine if monotherapy fails to control rate.

 

1st line treatment is treating abnormal heart rate first then treating rhythm if necessary

Q:

If beta blocker fails to control rhythm control what can be used instead?

A:
  • Flecainide
  • Amiodarone (high risk drug)
  • Other drugs (sotalol, propafenone and dronedarone)

 

Memory trick: FAB rhythm  (Flecainide, Amiodarone, Betablocker)

Q:

How is bleeding risk and stroke risk assessed for patients with AF?

A:

Stroke risk

CHA2DS2-VASC

 

Bleeding risk

HAS-BLED 

Q:

What is arrhythmia?

A:

Abnormal heart rate and rhythm

 

Resting heart rate above 100 or below 60 is considered as abnormal.

Q:

How is a new onset of AF managed in non-life threatening haemodynamic instability?

A:

If less than 48 hours then give rate or rhythm control 

 

If onset is unknown or over 48hours then rate control is preferred

 

Caution with rhythm control via electric shocks as this can cause strokes make sure the patient is on an anticoagulant

Arrythmia

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