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Internal Cardioversion
Internal Cardioversion

... The catheter is temporarily inserted into your heart through a vein, in your groin, neck or arm. X-rays will be taken to guide the proper placement of the catheter in your heart. After the catheter is correctly positioned, the catheter is connected to the Energy Delivery Device, and one or more low ...
File - Groby Bio Page
File - Groby Bio Page

... It can occur as a result of age, AVN or SVN problems, metabolic disturbances, as a result of taking certain medications, drug abuse, or as a result of a pre-existing heart disease. Trained athletes tend to have slow resting heart rates, and resting bradycardia in athletes is not abnormal if no sympt ...
What is Dilated Cardiomyopathy (DCM
What is Dilated Cardiomyopathy (DCM

... Dilated Cardiomyopathy is a disease of the heart muscle which causes the muscle wall to become weaker. This means that the heart is unable to pump effectively, and so more blood remains in the heart chambers causing them to become enlarged, or dilated. Eventually the heart will go into failure. Are ...
Slide 1 - American College of Physicians
Slide 1 - American College of Physicians

... Keep your differential diagnosis broad. Report suspected cases of TRALI to ...
Slide 1
Slide 1

... PRI: Because of the unusual configuration of the P wave ( flutter wave ) and the proximity of the wave to the QRS complex, it is often impossible to determine a PRI in this arrhythmia . Therefore , the PRI is not measured in atrial flutter . ...
Implantable Cardioverter Defibrillator
Implantable Cardioverter Defibrillator

... cause of death among people with congestive heart failure (CHF) • A study was conducted to determine if the drug amiodarone or an ICD improves the prognosis for people living with heart conditions • The study has 2521 patients who have either case 1 or case 2 CHF and also a left ventricle ejection f ...
acute atrial fibrillation treatment in the surgical patient
acute atrial fibrillation treatment in the surgical patient

... Most postoperative AF is self-limited, although it tends to be recurrent. AF that persists for greater than 48 hours is associated with an increased risk of stroke and transient ischemic attack (TIA). Thus, after 48 hours of AF, anticoagulation should be considered, weighing the potential benefits ...
Atrial Fibrillation Management: 2005
Atrial Fibrillation Management: 2005

... Atrial Fibrillation: Magnitude of the Problem • 15-30% of all strokes from atrial fibrillation • Heart failure risk increased with atrial fibrillation • 2.5x mortality increase with atrial fibrillation ...
Pan London statement on Prevention of AF
Pan London statement on Prevention of AF

... • INR <65% time in therapeutic range (TTR) over the past 6 months Reasons for poor control should be identified and addressed, including non-adherence, cognitive ability, drug, food or alcohol interactions or concurrent illness. • People who have had an ischaemic stroke whilst stable on warfarin the ...
ECG Interpretation
ECG Interpretation

... The AV node delays electrical conduction so that the atria and ventricles don’t contract at the same time, and blood flows effectively from the atria to the ventricles. The delay in the AV node forms much of the PR segment on the ECG. Part of atrial repolarization can also be represented by PR segme ...
H.5 - HL transport-system
H.5 - HL transport-system

... • These are connected to the the SAN via the two sets of nerves. • a) Accelerator nerve that increases the rate SAN activity to produce faster heart rate. • b) Decelerator nerve that decreases the rate SAN activity to slow heart rate. • In addition the SAN is sensitive to hormones such as adrenaline ...
Could Propafenone hydrochloride Cause Visual Hallucination?
Could Propafenone hydrochloride Cause Visual Hallucination?

... administered for rate control. Pulse rate decreased to 100 beats/min, but it continued irregularly, and her complaints of palpitation continued. Her blood pressure dropped to 70/40 mmHg. Cardiology consultation was requested for new-onset AF. Peroral propafenone HCl (600 mg) was given to the patient ...
Atrial Fibrillation and Ablation Therapy: A Patient`s Guide
Atrial Fibrillation and Ablation Therapy: A Patient`s Guide

... for AF outside the pulmonary veins that may also need to be considered especially in patients with more persistent forms of AF. The goal of AF ablation is to isolate or block off the electrical impulses within the pulmonary veins to prevent them from invading the atria. An AF ablation procedure begi ...
utmj submission template - University of Toronto Medical Journal
utmj submission template - University of Toronto Medical Journal

... treatment, however, is that as the AF is left unchecked there can be significant permanent atrial remodelling. This can have knock-on effects and may preclude somebody to developing other cardiac diseases. Rhythm control treatments, alternatively, offer better haemodynamic function and may not affec ...
Can I have Heart Failure with a Normal Heart Function?
Can I have Heart Failure with a Normal Heart Function?

... pressure, and decreased ability to exercise or exert due to feeling tired or short of breath. What are the risk factors for HFPEF? High blood pressure is prevalent in 80-90 percent of people with this type of heart failure. Other risk factors include advanced age, female sex, obesity, ...
Running head: CURRENT RESEARCH AND TREATMENT FOR AF
Running head: CURRENT RESEARCH AND TREATMENT FOR AF

... Currently, the bipolar radiofrequency ablation device has been used more commonly to assist with the traditional Cox Maze rather than used independently, because it has been associated with less freedom from AF at follow-up (Hiari, 2011). This study (Hiari, 2011), showed that a lot more research is ...
Anti-arrhythmic Drugs - Ipswich-Year2-Med-PBL-Gp-2
Anti-arrhythmic Drugs - Ipswich-Year2-Med-PBL-Gp-2

... VW Classification of Antiarrythmics Class 2 - Beta blockers which reducing sympathetic effects on heart rate and force of contraction Class 3 - Block potassium channels to prolong repolarization, and the refractory period – which shows as prolongation of QT (>450 msec) interval setting up platform ...
Patient Information Sheet
Patient Information Sheet

... the muscular wall of the atria triggers the contraction of your heart muscle that occurs with each heart beat. This usual ‘pacemaker’ is responsible for the regular rhythm of normal heart beats. In AF this ‘pacemaker’ fails and impulses are triggered from a number of other sites within the atria. Th ...
ECG Basics
ECG Basics

... Inappropriate sinus tachycardia Sinus node re-entrant tachycardia ...
ECG Assignment
ECG Assignment

... segment, the heart would have little time to generate force. Why might this explain why a person with a normal heart rate, and a short ST-segment might be chronically tired and have a smaller than normal cardiac output? E) RR-Interval: time between the same point on two adjacent QRS complexes….typic ...
ECG Assignment
ECG Assignment

... segment, the heart would have little time to generate force. Why might this explain why a person with a normal heart rate, and a short ST-segment might be chronically tired and have a smaller than normal cardiac output? E) RR-Interval: time between the same point on two adjacent QRS complexes….typic ...
Prevention of Atrial Fibrillation
Prevention of Atrial Fibrillation

... Overall risk of developing AF is rising. Increasing prevalence and incidence of AF Disabling co-morbid conditions such as heart failure, CHF, stroke, depression, anxiety and other arrhythmias. Medical and interventional treatments are available but are not without risk, adverse effects and do not cu ...
What Are Arrhythmias?
What Are Arrhythmias?

... arrhythmias are and the different types of arrhythmias that occur. Normally the heart beats in a regular way – like a clock. However, many people, especially those with heart failure, have heart rates that are too fast, too slow, or irregular. These abnormal heart rhythms are referred to as arrhythm ...
Patient Education: What are Arrhythmias
Patient Education: What are Arrhythmias

... arrhythmias are and the different types of arrhythmias that occur. Normally the heart beats in a regular way – like a clock. However, many people, especially those with heart failure, have heart rates that are too fast, too slow, or irregular. These abnormal heart rhythms are referred to as arrhythm ...
Persistent wandering atrial pacemaker after
Persistent wandering atrial pacemaker after

... Background: Long-term complications of sympathomimetic drug overdosing have not been adequately investigated in infants and young children. Despite reports discouraging their use in children, these formulations are frequently administered for “cold-like symptoms”. Their frequent adverse events are d ...
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Atrial fibrillation



Atrial fibrillation (AF or A-fib) is an abnormal heart rhythm characterized by rapid and irregular beating. Often it starts as brief periods of abnormal beating which become longer and possibly constant over time. Most episodes have no symptoms. Occasionally there may be heart palpitations, fainting, shortness of breath, or chest pain. The disease increases the risk of heart failure, dementia, and stroke.Hypertension and valvular heart disease are the most common alterable risk factors for AF. Other heart-related risk factors include heart failure, coronary artery disease, cardiomyopathy, and congenital heart disease. In the developing world valvular heart disease often occurs as a result of rheumatic fever. Lung-related risk factors include COPD, obesity, and sleep apnea. Other factors include excess alcohol intake, diabetes mellitus, and thyrotoxicosis. However, half of cases are not associated with one of these risks. A diagnosis is made by feeling the pulse and may be confirmed using an electrocardiogram (ECG). The typical ECG shows no P waves and an irregular ventricular rate.AF is often treated with medications to slow the heart rate to a near normal range (known as rate control) or to convert the rhythm to normal sinus rhythm (known as rhythm control). Electrical cardioversion can also be used to convert AF to a normal sinus rhythm and is often used emergently if the person is unstable. Ablation may prevent recurrence in some people. Depending on the risk of stroke either aspirin or anti-clotting medications such as warfarin or a novel oral anticoagulant may be recommended. While these medications reduce this risk, they increase rates of major bleeding.Atrial fibrillation is the most common serious abnormal heart rhythm. In Europe and North America, as of 2014, it affects about 2% to 3% of the population. This is an increase from 0.4 to 1% of the population around 2005. In the developing world about 0.6% of males and 0.4% of females are affected. The percentage of people with AF increases with age with 0.14% under 50 years old, 4% between 60 and 70 years old, and 14% over 80 years old being affected. A-fib and atrial flutter resulted in 112,000 deaths in 2013, up from 29,000 in 1990. The first known report of an irregular pulse was by John Baptist Senac in 1749. This was first documented by ECG in 1909 by Thomas Lewis.
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