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Atrial Fibrillation

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by

Isaac Kriley

on 20 April 2010

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Transcript of Atrial Fibrillation

Atrial Fibrillation def.: Disorganized atrial electrial activation and
uncoordinate atrial contraction 2.2 - 5.0 million Americans have a-fib Incidence and prevalence increase with age
<0.5% of those <50 2% of those 60-69 4% of those 70-79 8.8% of those 80-89 Classifications First detected or Recurrent Paroxysmal v. Persistent v. Permanent Lone AF: <60yo sans clinical or echocardiographic
evi. of cardiac disease and sans HTN Aaaarrrrrrr Pulmonary: asthma, PNA Ingestion(cocaine)/Ischemia Rheumatic/structural Anemia/Age/Atrial Size Thyroid (too much) EtOH/electrolyte abnls Sepsis Presentation Asymptomatic to HF and death Fatigue and effort intolerance Palpatations, dizziness, dyspnea So why treat? Irregular ventricular rhythm leads to reduced CO and cornary blood flow Symptoms in some Stroke First detected Recurrent Rate control Anticoagulation
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