Ebook Practical approach to cardiovascular medicine: Part 2

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Ebook Practical approach to cardiovascular medicine: Part 2

SECTION VVArrhythmias and Sudden Cardiac DeathCHAPTER 1313Atrial Fibrillation and FlutterMarco Perez and Amin Al-AhmadDepartment of Internal Medicine,

Ebook Practical approach to cardiovascular medicine: Part 2, Division of Cardiology, Stanford University School of Medicine, Stanford, CA, USAAtrial Fibrillation•Atrial fibrillation (Al7) is characterized by d

isorganized electrical activity in the atrium leading to loss of effective atrial contraction (Figures 13.1 and 13.2).•Most common arrhythmia, affecti Ebook Practical approach to cardiovascular medicine: Part 2

ng 1% of the United States population.•Associated with an increased risk of stroke (up to 5% per person/year in the elderly) and death.Classification•

Ebook Practical approach to cardiovascular medicine: Part 2

Paroxysmal: recurrent episodes lasting <7 days•Persistent: recurrent episodes lasting >7 days, often requiring cardioversion•Permanent: episodes lasti

SECTION VVArrhythmias and Sudden Cardiac DeathCHAPTER 1313Atrial Fibrillation and FlutterMarco Perez and Amin Al-AhmadDepartment of Internal Medicine,

Ebook Practical approach to cardiovascular medicine: Part 2 a stronger genetic link•Implies a lower risk of thromboembolism•Can be paroxysmal, persistent, or permanent•Acquired AF: not lone AF•Chronic AF: term

formerly used to refer to permanent AF•Familial AF: AF that runs in families with a Mendelian pattern of inheritance.Work-up of New-Onset AF•Assess f Ebook Practical approach to cardiovascular medicine: Part 2

or associated conditions: hypertension, heart failure, valvular disease, chronic obstructive pulmonary disease (COPD), pulmonary embolism, hypertrophi

Ebook Practical approach to cardiovascular medicine: Part 2

c cardiomyopathy, myocardial infarction (MI),A Practical Approach to Cardiovascular Medicine, First Edition. Edited by Reza Ardehali, Marco Perez, Pau

SECTION VVArrhythmias and Sudden Cardiac DeathCHAPTER 1313Atrial Fibrillation and FlutterMarco Perez and Amin Al-AhmadDepartment of Internal Medicine,

Ebook Practical approach to cardiovascular medicine: Part 2 electrical activity in atrial fibrillation. PV, pulmonary veinFigure 13.2 Characteristic ECG hallmarks of AF: irregular rhythm and poorly defined P-w

aves hyperthyroidism, endocarditis, binge drinking, excessive caffeine, diabetes mellitus (DM).•Routine tests to consider:•Echo:-Consider in all patie Ebook Practical approach to cardiovascular medicine: Part 2

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SECTION VVArrhythmias and Sudden Cardiac DeathCHAPTER 1313Atrial Fibrillation and FlutterMarco Perez and Amin Al-AhmadDepartment of Internal Medicine,