AF

Question 1

?

Answer 1

Abnormal electrical impulses fire from atria, overriding the AV node

Question 2

Bradycardia

Answer 2

<60

Question 3

Tachycardia

Answer 3

100-150

Question 4

Flutter

Answer 4

150-350

Question 5

Fibrillation

Answer 5

> 350

Question 6

Proxymal AF?

Answer 6

Last longer than 30 secs and less than 7 days

Termination spontaneously

Question 7

Persistent

Answer 7

Last over 7 days
Only terminates with cardioversion

Question 8

What are the 2 management startergies

Answer 8

Arythmia
• Rate control first, if fails, then rhythm control

Stroke prevention

Question 9

What is given first line - rate control

Answer 9

BB (not sotalol) OR rate limiting CCB

MONOTHERAPY

Question 10

What would you give for rate limiting is patient had non proximal AF

Answer 10

Digoxin

Question 11

Is Monotherapy fails?

Answer 11

Combine 2 drugs of ether

Beta blocker
Dilitazem
Digoxin

Question 12

What is a strict ventricalsr rate target at rest ?

Answer 12

<80 bpm

Question 13

What is a strict ventricalsr rate target during exercise?

Answer 13

<110 bpm

Question 14

A more lenient target at rest ?

Answer 14

110 bpm

Question 15

If rate controls fails, what to do?

Answer 15

Rythm control

Question 16

What to give for rythm control?

Answer 16

• satolol
• amiodarone

Question 17

Vaughan Williams classification

Question 18

Class 1 examples, moa and affected phase of AP

Answer 18

Lidocaine, flecaindine

Blocks Na channels

Phase 0

Question 19

Class II

Answer 19

BB

Inhibits sympathetic nervous system

Question 20

Clas III

Answer 20

Amiodarone

Blocks k channels

Phase 2

Question 21

Class 4

Answer 21

Rate limiting dihydropyradines

Verapamil

Phase 2

Question 22

Stroke prevention

Question 23

What tool can be used for calculating stroke risk

Answer 23

CHA2DS2-VASc

2 in both genders - DOAC
1 in men - doac
1 in women - NO anticoagulants
0 - NO anticoagulants

Question 24

What tool can came used for bleeding

Answer 24

ORBIT

Question 25

When should warfarin be given

Answer 25

Valvular AF (No valvular is where you do the stroke risk and give DOAC if indicated)

Question 26

How often should stroke risk score be reviewed when patients are on anticoagulants

Answer 26

Annually

Question 27

What if anticoagulant treatment is CI

Answer 27

Left atrial appendage occlusion