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Atrial fibrillation by Mind Map: Atrial
fibrillation
5.0 stars - 2 reviews range from 0 to 5

Atrial fibrillation

Causes

Heart valve disease

CAD

HTN

PE

Cardiothoracic surgery

Heart Failure

Congenital Heart Disease

Excessive alcohol or caffiene intake

Hyperthyroidism

What is it?

Irregular beating of the atria

EKG showing afib, no P wave, wavy baseline instead

Rapid heart rate

110 to 180 beats per minute

Symptoms

Palpitations

may give feeling of need to cough

SOB

increases with activity

presyncope, syncope, or dizziness

chest pain/pressure

weakness/fatigue

Treatment

Rate Control

Betablockers, metoprolol or carvedilol

calciumchannel blockers, diltiazem

Cardiac glycoside, Digoxin

Permanent Pacemaker

Anticoagulation Management

CHADS2 score of 2 or more, Pradaxa or Coumadin

Rhythm Contorl

Antiarrhythmia medication, Tikosyn, must be hospitalized for initiation, Sotalol, Amiodarone, side effects, Hypothroidism, Pulmonary fibrosis, Flecainide, Propafenone

Ablation, Targeted/focal, return to NSR if successful, AV node, often symptom control, not rhythm control, destroys ability of AV node to send electrical impulses, Permanent Pacemaker required

MAZE procedure, incisions made on atria, Scar tissue forms, Abnormal electical impulses disrupted

Cardioversion, return to NSR is successful, starting dose 100 to 120 Joules

Diagnosis

Cardiac monitoring

Holter monitor

portable event monitor

EKG

Electrophysiologist/cardiologist consult

Complications

Heart failure

with prolonged lack of rhythm/rate control

Clot

MI

Stroke