A Fib - Benzoni

Question 1

Paroxysmal A Fib

Answer 1

lasts 1-7 days, every so often

Question 2

Paroxysmal A Fib

Answer 2

lasts 1-7 days, every so often

Question 3

Persistent A Fib

Answer 3

over 7 days

Question 4

Pathophysiology of A Fib (5)

Answer 4

1) Atrial enlargement (mitral valve disease, rheumatic heart disease)
2) Ischemia
3) Toxins
4) Metabolic disease
5) Hemodynamic impairment (loss of atrial contribution to stroke volume)

Question 5

Consequences of A Fib (4)

Answer 5

1) Thromboembolism
2) Dminished CO
3) Ischemic events
4) Exercise capacity diminishes

Question 6

Treatment for A fib focuses on…

Answer 6

rate and rhythm control

prevention of clot formation

Question 7

Common agents for acute RATE control

Answer 7

Beta blockers

CCB

Question 8

Labs and ECGs

Answer 8

Labs are NON specific

ECGs are crucial

Question 9

Non -valvular causes of A fib

Answer 9

1) >65
2) HTN
3) Rheumatic heart disease
4) Prior stroke
5) Diabetes
6) CHF

Question 10

Antithrombotic therapy for A fib

Answer 10

Heparin
Warfarin
Aspirin
Clopidogrel

Question 11

Pathophysiology of A Fib (5)

Answer 11

1) Atrial enlargement
2) Ischemia
3) Toxins
4) Metabolic disease
5) Hemodynamic impairment

Question 12

Antithromibotic therapy is contraindicated for…

Question 13

Indications for novel oral anticoagulants

Answer 13

• no diet restrictions
• rapid onset and offset
• very costly
• no testing available
• no reversal agent
• limited data for comorbidities

Question 14

Indications for novel oral anticoagulants

Answer 14

• no diet restrictions
• rapid onset and offeset
• very costly
• no testing available
• no reversal agent
• limited data for comorbidities

Question 15

Novel oral anticoagulants are restricted for…

Answer 15

kidney disease

Question 16

Persistent A Fib

Answer 16

over 7 days

Question 17

Long standing A Fib

Answer 17

over a year

Question 18

Pathophysiology of A Fib (5)

Answer 18

1) Atrial enlargement
2) Ischemia
3) Toxins
4) Metabolic disease
5) Hemodynamic impairment

Question 19

Consequences of A Fib (4)

Answer 19

1) Thromboembolism
2) Dminished CO
3) Ischemic events
4) Exercise capacity diminishes

Question 20

Treatment for A fib focuses on…

Answer 20

rate and rhythm control

prevention of clot formation

Question 21

Common agents for acute RATE control

Answer 21

Beta blockers

CCB

Question 22

Labs and ECGs

Answer 22

Labs are NON specific

ECGs are crucial

Question 23

Non -valvular causes of A fib

Answer 23

1) >65
2) HTN
3) Rheumatic heart disease
4) Prior stroke
5) Diabetes
6) CHF

Question 24

Antithrombotic therapy for A fib

Answer 24

Heparin
Warfarin
Aspirin
Clopidogrel

Question 25

Antithromibotic therapy is contraindicated for...

Question 26

Novel Oral Anticoagulants (3)

Answer 26

Dabigatran - thrombin inhibitor | Rivaroxaban and Abaxiban - Factor Xa inhibitors

Question 27

Indications for novel oral anticoagulants

Answer 27

- no diet restrictions - rapid onset and offeset - very costly - no testing available - no reversal agent - limited data for comorbidities

Question 28

Novel oral anticoagulants are restricted for...

Answer 28

kidney disease