Atrial fibrillation

Question 1

A fib triggers

Answer 1

-dilated left atrium
-alcohol consumption
-post surgery (post CABG or other)
-obesity
-elite athletes

Question 2

hemodynamically instable AF

Answer 2

-hypotension
-pulmonary oedema
-chest pain related to AF

Question 3

indication for long term anticoagulant in AF

Answer 3

-CHA2DS2-VASC score >=2
- hypertrophic cardiomyopathy regardless of chadsvasc score

Question 4

long term anticoagulant

Answer 4

oral AC preferred ( rivaroxaban,dabigatran,apixaban )
except in valvular AF -> warfarin

Question 5

short term preventing stroke in AF

Answer 5

AC for up to 4 weeks after cardioversion

Question 6

CHA2DS2-VASc score ?

Answer 6

-C: ongestive heart failure or left ventricular dysfunction: 1 point
-H: ypertension: 1 point
-A: ge:
≥ 75 years: 2 points
65-74 years: 1 point
-D: iabetes: 1 point
-S: troke/transient ischemic attack (TIA)/thromboembolism: 2 points
-V: ascular disease (prior MI, PAD, or aortic atheroma): 1 point
-A: ge:
≥ 75 years: 2 points
65-74 years: 1 point
-S: ex (female): 1 point

Question 7

DOAC (direct oral anticoagulant )

Answer 7

• Dabigatran(thrombin inhibitor
• Rivaroxaban
• Apixaban
• Warfarin
• Heparin
• LMWH