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Atrial Fibrillation C ardioVasCul ar m ediCine
Atrial Fibrillation C ardioVasCul ar m ediCine

... Co-directors José Jalife, MD, (upper left) and Mario Delmar, MD, PhD, (lower left) established the center in late 2007, when they and a team of 33 other physicians, students and research staff arrived in Ann Arbor from the State University of New York Upstate Medical University in Syracuse. Three fo ...
ECG Lecture Chapter 4
ECG Lecture Chapter 4

... Differing appearance than VTach – not as lethal. Cause is electrolyte abnormalities (K+) or medication. • Usually begins with a prolonged QT, usually is not sustained for long periods. ...
Comparison on Time Basis of Atrial Fibrillation with Normal Sinus
Comparison on Time Basis of Atrial Fibrillation with Normal Sinus

... and non-cardiac circumstances, it is in most cases symptomless having undefined not particular evidences. In several cases, after major serious problems such as stroke, heart failure or thromboembolism the AF is discovered in a patient. The initial medical diagnosis of AF relies upon relating sympto ...
Transcatheter Closure of the Left atrial appendage
Transcatheter Closure of the Left atrial appendage

... rhythm disorder which is present when the heart’s two upper chambers, the left and right atria, beat in a fast and irregular manner. AF is present in 1 to 2% of the adult population overall, although the prevalence of AF in people over 65 is thought to be about 8%, and this population group is also ...
The heart - Heart Rhythm Alliance
The heart - Heart Rhythm Alliance

... filled with blood, the atria receive an electrical impulse from the sino-atrial node (SA node). This electrical impulse spreads from the SA node over the walls of the atria and causes it to contract – forcing the blood out of the atria and into the ventricles (bottom chambers of the heart). Whilst t ...
Signs and Symptoms - Heart Rhythm Society
Signs and Symptoms - Heart Rhythm Society

... Fainting from a heart rhythm disorder is more likely to happen suddenly and without warning than fainting from other causes, such as dehydration or low blood sugar. Any sudden loss of consciousness should be evaluated by a doctor. In some cases, fainting is the only warning sign of a dangerous heart ...
Heart
Heart

... When the words "systole" and "diastole" are used without reference to specific chambers, however, they mean ventricular systole or diastole. The atria (a) empty during atrial systole and (b) fill with blood during atrial diastole. ...
Atrial fibrillation
Atrial fibrillation

... with significant symptoms or cardiovascular compromise, there is no overall absolute necessity to do so. These studies concentrated predominantly on older patients (> 65 years of age) with cardiovascular risk factors and with persistent or chronic AF. Paroxysmal AF: The situation however is less cle ...
How to read ECG - Simply Psychiatry
How to read ECG - Simply Psychiatry

... • Atrial flutter (I.H.D/Digitalis toxicity): Saw tooth appearance of p waves. It is due to re-entry within the atria. As compared to A Fib rhythm is relatively regular. Often presents with 2:1 or 4:1 AV blocks • Atrial fibrillation: A chaotic rhythm, which originates from multiple sites in atria. On ...
Pharmacological Cardioversion of Atrial Fibrillation: Which Drugs
Pharmacological Cardioversion of Atrial Fibrillation: Which Drugs

... In this condition, the clinical context and left ventricular function are the most important factors in choosing an antiarrhythmic drug. For lone AF or AF associated with mild hypertension, the class IC antiarrhythmic drugs propafenone and flecainide, administered intravenously, have a priority indi ...
Heart Physiology Notes for students
Heart Physiology Notes for students

... Heart murmurs: abnormal heart sounds most often indicative of ...
Rate and sound of heart
Rate and sound of heart

... The second heart sound caused by closure of aortic and pulmonary valves,high pitch 50 Hz ,shorter time 0.11 second.it occurs at beginning of diastolic.it is heard as dup. The third heard sound it is caused by rapid Ventricular filling and inrush of blood, soft heard by stethoscope . The fourth sound ...
Drug Information Sheet("Kusuri-no-Shiori") Internal Revised: 03
Drug Information Sheet("Kusuri-no-Shiori") Internal Revised: 03

... excitation-conduction of the heart to correct irregular heart beats due to tachyarrhythmia. It also dilates the coronary arteries to increase the blood flow to the heart and the peripheral vessels to reduce the work load of the heart. It consequently suppresses the symptoms such as chest pain due to ...
Balloon atrial septostomy in pulmonary arterial hypertension: A
Balloon atrial septostomy in pulmonary arterial hypertension: A

... benefit of this procedure was a restoration of sinus rhythm (Fig. 1B), which was maintained for a few months following the procedure and the patient’s clinical state remained stable. Ballon atrial septostomy is a known method used as a bridge to lung transplantation (LuTX) in patients with severe PA ...
Factors in Deciding between Novel and Traditional Oral
Factors in Deciding between Novel and Traditional Oral

... prospective studies on NOACs are awaited. The subanalyses of previous multicenter studies have not authorized the unrestricted use of NOACs in those patients, warfarin being the most often studied drug, in double or triple combination with antiplatelet agents. However, there are “recommendations” fo ...
CCS Focused Update on Atrial Fibrillation New Guidelines for 2016
CCS Focused Update on Atrial Fibrillation New Guidelines for 2016

... • Five thrombotic events occurred – 1 early event (DVT + PE) within 72 hours – 4 patients had events after 72 hours (DVT, DVT+PE+LA thrombus, MI, ischemic stroke) – None of these 5 patients was receiving any antithrombotic therapy when the events occurred ...
File
File

... – Atrioventricular (AV) Node – After current passes through the SA node, it moves here. Delays impulse to allow atria to complete contraction before ventricles contract. Located in the septum above the tricuspid valve. ...
ABO Blood typing and transfusions
ABO Blood typing and transfusions

... transmit all. This is "heart block" or "AV block." This does not mean that the blood flow or blood vessels are blocked. Can be mild and unnoticeable or extreme which can cause death since ventricles never receive signal to contract ...
Cardiovascular Problems
Cardiovascular Problems

... transmit all. This is "heart block" or "AV block." This does not mean that the blood flow or blood vessels are blocked. Can be mild and unnoticeable or extreme which can cause death since ventricles never receive signal to contract ...
Cardiovascular and Peripheral Vascular Disorders
Cardiovascular and Peripheral Vascular Disorders

... Originates: atria Rate: 350-600 Rhythm: irregular; may be unable to count Causes: • atherosclerosis, mitral valve disease, CHF, cardiomyopathy, congenital abnormalities, COPD, and thyrotoxicosis ...
Magnetic Resonance Imaging Guiding Pacemaker
Magnetic Resonance Imaging Guiding Pacemaker

... sparing of the epiphyses (Figure 1A).2 Over the last 5 years the patient has been stable through daily oral administration of 5 mg prednisolone. Cardiac magnetic resonance imaging was performed to guide placement of the pacemaker electrodes and visualize the overall and local extent of tumor due to ...
Cardiology EKG disease info
Cardiology EKG disease info

... Left Bundle Branch Block (LBBB) Same as right, but opposite (i.e. Left instead of Right) Atrial Fibrillation Tx: with Heparin/warfarin To Slow heart rate: Adenosine does NOT work, use Verapamil NEVER shock (unless they have been on blood thinners for couple months) Check for Thrombi Ventricular Tach ...
A Case Report - Research and Reviews
A Case Report - Research and Reviews

... Atrial septal defect (ASD) is the most prevalent congenital heart lesion in adulthood accounting the35% of all congenital heart defects [1]. It usually has an insidious clinical presentation. Late presentation is due to the gradual development of right ventricular remodeling. Dyspnea, fatigue, palpi ...
The EFFect of hIgh-dose ClopIdogrel treatmENT in patients with
The EFFect of hIgh-dose ClopIdogrel treatmENT in patients with

... chronic heart failure may increase susceptibility to torsades de pointes  Torsades de pointes is often ‘‘bradycardia-dependent’’ or ‘‘pause dependent,’’ with a characteristic initiating sequence Tedrow U and Stevenson WG. Management of Atrial and Ventricular Arrhythmias in Heart Failure. Marcel Dek ...
Insider - Optum360Coding.com
Insider - Optum360Coding.com

... These codes are to be used for easy reference; however, the ICD-9-CM code book is the authoritative reference for correct coding guidelines. The information presented herein is for information purposes only. OptumInsight does not warrant or represent that the information contained herein is accurate ...
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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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