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CHA2DS2-VASc Score and Heart Rate Predict Ischemic Stroke
CHA2DS2-VASc Score and Heart Rate Predict Ischemic Stroke

... or CHA2DS2-VASc score is related to an increased risk of stroke occurrence,3-5 and a patient with a score of ³ 2 on the CHADS2 or CHA2DS2-VASc is recommended to receive an anticoagulant. In this study, we found that more than 90% of AF patients with stroke had a CHA2DS2VASc score of ³ 2, but only 74 ...
CCS Consensus Cover.qxd
CCS Consensus Cover.qxd

... There are two accepted general strategies for arrhythmia management in AF. The first is to control the heart rate without any specific attempt to restore and maintain sinus rhythm (The Rate Control Strategy). The second is to restore and attempt to maintain sinus rhythm, including repeated cardiover ...
PDF
PDF

... ablation in and around PVs is most effective in curing AF among patients without structural heart disease. In dogs PVs have been shown to exert rapid firing of ectopic foci and triggered AF-mediated by triggered activity or abnormal automaticity,48 although this has not been a universl finding.49 Si ...
Atrial fibrillation and risks of cardiovascular disease, renal
Atrial fibrillation and risks of cardiovascular disease, renal

... abstracted data using standardised forms. When available, we abstracted information on general study characteristics (study name or investigator’s name, recruitment period, median duration of follow-up, year of publication of the primary findings), number of participants with and without atrial fibr ...
Dual Chamber Pacemakers: Fact Sheet
Dual Chamber Pacemakers: Fact Sheet

... Whenever any of the following conditions (which represent overriding contraindications) is present, dual-chamber pacemakers are not covered: 1. Ineffective atrial contractions (e.g., chronic atrial fibrillation or flutter, or giant left atrium); 2. Frequent or persistent supraventricular tachycard ...
Modelling and robust estimation of AV node function during AF
Modelling and robust estimation of AV node function during AF

... management for those patients affected by AF, which is the most common arrhythmia. Methods: The simulation has been improved by introducing a new parameter that represents the probability of an impulse choosing either one of the two pathways. Exploration data has been conducted keeping fixed a set o ...
lead I
lead I

... graphic recording of electric potentials generated by the heart. The signals are detected by means of metal electrodes attached to the extremities and chest wall and are then amplified and recorded by the electrocardiograph. • ECG leads actually display the instantaneous differences in potential bet ...
PALS Study Guide
PALS Study Guide

...  Look, Listen, and Feel for breathing. Check for breathing by looking to see chest rise and fall when the victim breathes, listening and feeling for airflow through victim’s nose and mouth.  Next, pinch the victim's nose closed, or for an infant place your mouth over the infant’s nose and mouth, a ...
Contractile cells
Contractile cells

... • normally – atrial excitation and contraction occurs about 160 msec before ventricular • 2. cardiac fiber excitation should be coordinated to ensure each chamber contracts as a unit • muscle fibers cannot become excited randomly • role of the gap junctions • 3. atria and ventricles should be functi ...
Potential Adverse Cardiovascular Effects From Excessive
Potential Adverse Cardiovascular Effects From Excessive

... society as a whole far outweigh potential risks. At the same time, long-term training for and competing in extreme endurance events may predispose to CV issues that are not seen in more moderate forms of PA. ...
Association between Normal Aging and Phasic Left Atrial Volume as
Association between Normal Aging and Phasic Left Atrial Volume as

... Background: Left atrial (LA) size is a good predictor of many cardiovascular outcomes, including atrial fibrillation, stroke and heart failure. Real-time 3D echocardiography (RT3DE) may be a superior index for estimating LA volume, compared with traditional M-mode and 2D methods. In this study, we u ...
Prevention of Atrial Fibrillation After Cardiac Surgery
Prevention of Atrial Fibrillation After Cardiac Surgery

... Operative techniques and standards of care did not change significantly during the course of this study, and all procedures were performed by the same group of heart surgeons. Preoperative (ejection fraction ⱕ 35%, advanced age), operative (CABG with valve replacement) and postoperative variables (p ...
Prevention of Atrial Fibrillation After Cardiac Surgery
Prevention of Atrial Fibrillation After Cardiac Surgery

... Operative techniques and standards of care did not change significantly during the course of this study, and all procedures were performed by the same group of heart surgeons. Preoperative (ejection fraction ⱕ 35%, advanced age), operative (CABG with valve replacement) and postoperative variables (p ...
Randomized Trial Amiodarone for the Prevention of Atrial Fibrillation
Randomized Trial Amiodarone for the Prevention of Atrial Fibrillation

... associated with high daily dosages and long-term therapy14,15 but does not increase mortality in patients with heart failure and ischemic heart disease.16,17 Efforts to reduce the adverse event rate by using low-dose amiodarone (ⱕ400 mg/d after adequate loading) suggest that they still may occur. Sh ...
PDF - Circulation: Arrhythmia and Electrophysiology
PDF - Circulation: Arrhythmia and Electrophysiology

... anterior aspect of the dry pericardial space. Small amounts of contrast are injected as the needle is advanced; the black arrow demonstrates mediastinal staining and the white arrow demonstrates pericardial staining, which is later confirmed by advancing a wire into the pericardial space and creatin ...
Microsoft Word - 12 Analyzing Heart EKG.doc
Microsoft Word - 12 Analyzing Heart EKG.doc

... node) which initiates an electrical sequence. This impulse then passes down natural conduction pathways between the atria to the atrioventricular node and from there to both ventricles. The natural conduction pathways facilitate orderly spread of the impulse and coordinated contraction of first the ...
Cardio81-ECGPt2
Cardio81-ECGPt2

...  due to pulmonary artery stenosis – pulmonary valve inadequate  right ventricle must generate greater pressure for normal output  detected on ECG with: large negative wave in limb lead I axial deviation to the right eg/ left ventricle hypertrophy o due to hypertension (greater pressure in aorta) ...
Heart Failure in Dogs - Today`s Veterinary Practice
Heart Failure in Dogs - Today`s Veterinary Practice

... DMVD is the most common acquired heart disease in dogs. Common clinical signs and pathophysiology include: • Heart murmur due to mitral valve (and, sometimes, tricuspid valve) regurgitation, leading to left atrial and left ventricular dilatation • Progressive dilatation of the left ventricle, ulti ...
Left atrial systolic and diastolic function accompanying chronic rapid
Left atrial systolic and diastolic function accompanying chronic rapid

... signals for left ventricular (LV) and left atrial (LA) pressures and atrial dimensions were digitized through an analog-todigital board (Data Translation, Marlboro, MA) interfaced to an IBM AT computer with a 2-ms sampling frequency and were stored on floppy disk. Fluid-filled catheters were connect ...
ECG Int W06 2401KB Jan 14 2015 08:21:51 AM
ECG Int W06 2401KB Jan 14 2015 08:21:51 AM

... Have a heart, and have no fear, The SA node is over here. Beating at a constant rate, 60 – 100 is really great. The AV node can make a show, If SA node has gone too slow. 40 – 60 is not too bad If it’s all you’ve got, you will be glad. Should the whole thing drop it’s speed, His and bundle branches ...
Guidance on format of the RMP in the EU in integrated format
Guidance on format of the RMP in the EU in integrated format

... Supraventricular arrhythmias include several different type of conditions including tachycardias caused by re-entry of cardiac electrical impulses in accessory conducting pathways between atria and ventricles (e.g. Wolff-Parkinson-White syndrome) leading to episodes of rapid heartbeat. Fast cardiac ...
Occurring During Cardiac Catheterization
Occurring During Cardiac Catheterization

... esophageal and other leads were recorded. The most frequent mechanism was retrograde conduction to the atria with varying degrees of V-A (ventriculo-atrial) block which occurred in 26 of the 38 patients. Runs of ventricular tachycardia with one-toone V-A conduction occurred in 13 patients. Runs with ...
Temporary Pacemakers
Temporary Pacemakers

... Set pacer rate 10 ppm slower than patient’s HR Increase sensitivity to chamber being tested to minimum level (0.4mV) Decrease sensitivity of the pacer (↑mV) to the chamber being tested until pacer stops sensing patient (orange light stops flashing) Increase sensitivity of the pacer (↓mV) until the p ...
Temporary Pacemakers
Temporary Pacemakers

... Set pacer rate 10 ppm slower than patient’s HR Increase sensitivity to chamber being tested to minimum level (0.4mV) Decrease sensitivity of the pacer (↑mV) to the chamber being tested until pacer stops sensing patient (orange light stops flashing) Increase sensitivity of the pacer (↓mV) until the p ...
AF Guidelines
AF Guidelines

... General recommendations regarding antithrombotic therapy in the context of concomitant AF and CAD(asymptomatic, stable CAD, elective PCI, NSTEACS or STEMI): • We recommend that patients who have concomitant AF and CAD receive a regimen of antithrombotic therapy that is on the basis of a balanced as ...
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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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