AFIB Flashcards
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21
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in afib Electrical cardioversion is synchronised
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the R wave to prevent delivery of a shock during the vulnerable period of cardiac repolarisation when ventricular fibrillation can be induced
22
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if the onset of the arrhythmia is less than 48 hours
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offer rate or rhythm control
23
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if the onset is more than 48 hours or is uncertain
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start rate control
24
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Following electrical cardioversion if AF is confirmed as being less than 48 hours the what is unnecessary ?
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further anticoagulation is unnecessary
25
If the patient has been in AF for more than 48 hours then anticoagulation should be given for at least how many weeks prior to cardioversion
at least 3 weeks
alternative strategy is to perform a transoesophageal echo (TOE) to exclude a left atrial appendage (LAA) thrombus
26
If there is a high risk of cardioversion failure (e.g. Previous failure or AF recurrence after electrical ) then it is recommend to have at least
4 weeks amiodarone or sotalol prior to electrical cardioversion
27
Following electrical cardioversion patients should be anticoagulated for at least
4 weeks