Flashcards in 46 - Supraventricular Tachycardia Deck (21):
More difficult to achieve ___ control in patients with atrial flutter than patients with A. Fib
The threshold for using catheter ablation is ____ for atrial flutter than for A. Fib
-Percutaneous Left Atrial Appendage Occlusion
When is cardioversion used?
to terminate the tachycardia electrically if unresponsive to medical management
for patients with A. fib or flutter > 48 hours
Need 3 weeks of ______ prior to cardioversion
Who is catheter ablation 1st line for?
patients with typical atrial flutter
*also an option for those with A. fib who are symptomatic and either don't want or can't have anti-arrhythmic therapy
What is Percutaneous Left Atrial Appendage Occlusion used for?
to decrease risk of systemic embolism
only for those with high risk of stroke from whom antithrombotic tx is precluded
Control ____ in those with more than minimal symptoms
_____ is more effective than sotalol or propafenone for prevention of recurrences of AF
What do you need to monitor while on Amiodarone?
Can elevate serum aminotransferases or cause hepatitis
Monitor LFTs and thyroid
What are some options for chemical cardioversion?
List the 2 first line drug classes
When should digoxin be considered?
only when response to 1st line agents is inadequate since it is not very effective and there are concerns that it may increase mortality
Targets for BP ?
-Resting HR < 80 bpm
-Mean HR < 100 bpm
*using 24 hour Holter monitoring
If rate control can't be achieved with meds, consider what?
AV nodal ablation or permanent pacemaker
Who is anticoagulation recommended for?
For the prevention of thromboembolic stroke in patients who have A. fib or flutter and are at high risk of stroke
use _____ to estimate stroke risk
use _____ to estimate bleed risk
What are some options?
dabigatran and apixaban found to be better than warfarin
*guidelines suggest using DOAC > warfarin
What is an option for those who are not candidates for oral anticoagulants?
Percutaneous Left Atrial Appendage Occlusion