Atrial Fibrillation

Question 1

Atrial fibrillation acute management rules

Answer 1

If haemodynamically unstable: electrically cardiovert
If haemodynamically stable: <48 hours rate OR rhythm control >48 hours rate control only

Question 2

AF rate control drugs

Answer 2

Beta Blocker
in athsmatics: diltiazem

Question 3

Beta blockers should not be prescribed with__ due to the risk of __

Answer 3

verapamil …. complete heart block

Question 4

palpitations and lightheadedness

Answer 4

AF

Question 5

AF rate control if athsmatic

Answer 5

Diltiazem

Question 6

Left and Right Bundle Branch Block on ECG

Answer 6

WiLLiaM MaRRoW

In LBBB
V1: W V6: M

IN RBBB
V1: M V6: W

Question 7

CHADVASC score in treating AF

Answer 7

Only anticoagulant if score > or equal 2
If male > or equal 1

Question 8

why are U&Es checked for hypokalaemia?

Answer 8

to detect hypokalaemia (may induce arrhythmia)

Question 9

What tests before amiodarone started for AF?

Answer 9

TFT
LFT
U&E
chest xray

Question 10

what tests must be done for a patient on amiodarone?

Answer 10

6 monthly TFT, LFT

Question 11

AF rythm control

Answer 11

beta blocker,
if cardioverted: dronedarone
in heart failure: Amiodarone