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Daniel Jones
rapidly firing foci
bombard the AV node with many signals
Epidemiology
most common sustained cardiac
arrhythmia
Longstanding Persistent -
>12 months
Permanent
Risk Factors
Age Pulmonary Emboli
Diabetes Hyperthyroidism
Alcohol Obesity
History
Asymptomatic
Palpitations - racing or
galloping
SOB
chest pain
Dizziness
Dyspnoea
Exam
Blood Pressure
elevated JVP
valvular disease
cardiomyopathy with
low LVEF
stress testing
Laboratory Testing
Cardiac enzymes - Ischaemia ?
cause or consequence
DM
Chads2
CHA2DS2-VASc score includes sex, VTE and
vascular disease history
Management
Diagnosis of AF
Assessment of duration
Assessment of anticoagulation
Treatment of underlying/associated
disease
New-onset AF
CHA2DS2-VASc 0-1/stable/no thrombus
Anticoagulation
electrical cardioversion OR
Aspirin