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Newly diagnosed Atrial Fibrillation - Cardioversion and Anticoagulation Algorithm

Matthew Ho, MD PhD @MatthewHoMD

#Atrial #Fibrillation #Cardioversion #Anticoagulation
Newly diagnosed ... Atrial Fibrillation ... Cardioversion and Anticoagulation ... MatthewHoMD #Atrial ... #Fibrillation #
Bleeding risk calculators - HAS-BLED (atrial fibrillation) and IMPROVE (VTE prophylaxis for inpatients)
Important notes:
 • No
calculators - HAS-BLED (atrial ... fibrillation) and ... fibrillation • ... #Factors #Hematology ... #Diagnosis
Atrial Fibrillation Overview

Symptoms:
Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope.

1. Why?
Cardiac:
• Valvular heart disease
•
Atrial Fibrillation ... Noncardiac: • Pulmonary ... Anticoagulation ... #Atrial #Fibrillation
HAS-BLED Score: Estimates risk of major bleeding for patients on anticoagulation to assess risk-benefit in atrial
for patients on anticoagulation ... risk-benefit in atrial ... fibrillation care ... #Diagnosis #HASBLED ... #Risk #Bleed #Anticoagulation
Atrial Fibrillation - Diagnosis, Causes, Presentations
Causes (PIRATES):
 - Pulmonary embolism 
 - Ischemia (cardiac) 
 -
Atrial Fibrillation ... - Diagnosis, Causes ... (PIRATES): - Pulmonary ... #Fibrillation # ... AFib #Diagnosis
Newly Diagnosed Atrial Fibrillation - Management Algorithm

 • Rate Control
 • Rhythm Control
 • Anticoagulation

Matthew Ho,
Newly Diagnosed ... Atrial Fibrillation ... Rhythm Control • Anticoagulation ... MatthewHoMD #Atrial ... #Fibrillation #
Anatomical Differential Diagnosis for Arrhythmias
 • SA node: Sinus bradycardia, Sick Sinus Syndrome (SSS)
 • AV
Anatomical Differential ... Diagnosis for Arrhythmias ... Fibrillation (AF ... ), Ventricular Fibrillation ... #Diagnosis #Causes
Tachyarrhythmia Framework - Differential Diagnosis
 • Narrow QRS - Regular Rhythm: Sinus tachycardia, AVNRT, Orthodromic AVRT,
Tachyarrhythmia Framework - Differential ... Diagnosis • Narrow ... fibrillation, Atrial ... fibrillation with ... #Diagnosis #cardiology
Atrial Fibrillation (A-Fib) Summary

Symptoms:
• Palpitations, light-headedness, dizziness, dyspnea, exercise intolerance, chest pain, near-syncope, syncope.

Why?
Cardiac:
	• Valvular heart
Atrial Fibrillation ... Noncardiac: • Pulmonary ... Fibrillation - ... #Fibrillation # ... AFib #diagnosis
Causes of Tachycardia - Differential Diagnosis Algorithm
Narrow Complex - Regular:
 • Sinus tachycardia
 • Atrial flutter
Tachycardia - Differential ... Diagnosis Algorithm ... fibrillation ... • Ventricular fibrillation ... #Diagnosis #Algorithm