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Atrial Fibrillation . By Mark Hanna . What is it? . Arrhythmia Quivering AKA: Afib, AF . Common or Not . Normal Hearts Heart Disease Hypertension Disease Coronary Heart Disease (CHD) . Other Risk Factors . Hyperthyroidism Abnormal Muscle Function
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Atrial Fibrillation By Mark Hanna
What is it? Arrhythmia Quivering AKA: Afib, AF
Common or Not • Normal Hearts • Heart Disease • Hypertension Disease • Coronary Heart Disease (CHD)
Other Risk Factors • Hyperthyroidism • Abnormal Muscle Function • Chronic Obstructive Pulmonary Disease (COPD) • Inflammation • Alcoholism • Stimulant Drugs • Any other stress
Demographics • A study: “ATRIA study” • 1.9 million subjects • AF occurred in 1% of population • 65 or older= 70% • 75 or older= 45%
Demographic Summary • Should you be worried? • Male • White • Old
How the Heart Works • Sinoatrial Node (SA) • Atrioventrical Node (AV) • Problems?
Symptoms Palpitations Heart racing Fatigue Lightheadedness Shortness of Breath Chest pains Hypotension Heart attack/Embolism/Stroke
Complications Inefficient Heart Function Loss of Synchrony Pooling of blood in Atria Heart failure Thrombosis Stroke Virchow triad
Treatment Classifying Evaluating Treating
Classifying Paroxysmal Persistent Permanent Lone
Evaluating History and Physical Exam Responsiveness to drugs and Tests Presence of Heart disease
Evaluating: EKG Electrocardiogram (ECG) P-Q Q-T
Prevention Keeping away from stimulants and stressors Blood pressure Hyperthyroidism controlled Controlling disease
Treatments and Issues Rhythm vs Rate Control Choosing what to focus on Prevention of Embolism Other Solutions
References http://www.medicinenet.com/atrial_fibrillation/page5.htm http://www.uptodate.com/contents/overview-of-the-evaluation-and-management-of-atrial-fibrillation?source=search_result&selectedTitle=1~150 http://www.uptodate.com/contents/overview-of-the-evaluation-and-management-of-atrial-fibrillation?source=search_result&selectedTitle=1%7E150 http://www.uptodate.com/contents/presentation-and-management-of-new-onset-atrial-fibrillation?source=see_link http://www.uptodate.com/contents/epidemiology-of-and-risk-factors-for-atrial-fibrillation?source=see_link http://www.aafp.org/afp/980800ap/dello.html http://en.wikipedia.org/wiki/Atrial_fibrillation