Atrial Fibrillation || 100% Verified Answers.
Afib belongs to a class of arrhythmias known as _____________ arrhythmia
What does this word mean? correct answers Supraventricular
"Above the ventricles"
In AFib, the heart is ________ instead of beating correct answers Quivering
Afib leads to _______ of blood in the atrium. What can this ultimately lead to? correct answers
Stagnation
Can lead to cardioembolic stroke as the clot embolizes to the brain and leads to ischemia
Risk factors for AF correct answers (1) Age
(2) HTN
(3) DM
(4) MI
(5) Obesity
(6) CT surgery
(7) Smoking
(8) Exercise (acute exercise)
(9) Alcohol use
(10) European ancestry (more prevalent in white compares to black)
(11) LVH
(12) LA enlargement
(13) Increased CRP
(14) Increased BNP
TTE vs TEE correct answers TTE: Transthoracic exam
Exam heart through surface of chest. Less invasive but less sensitive and accurate
TEE: Transesophageal exam
Exam where probe is inserted down esophagus. More sensitive and accurate but more invasive
Most common symptom of Afib correct answers Fatigue and rapid HR
AF Classifications
1) Paroxysmal AF
2) Persistant AF
3) Longstanding persistant AF
, 4) Permanent AF
5) Nonvavlular AF correct answers 1) AF that terminates spontaneously or with intevention
within 7 days of onset
2) Continous AF that is sustained >7 days
3) Continous AF >12 months of duration
4) This term is used when there has been a joint devision by the patient and clinician to cease
further attempts to restore/maintain sinus rhythm
5) Absence of valvular AF
Which ethnicity is more likely to suffer from Afib? correct answers White
Age >_____ is associated with increased risk of Afib correct answers 65
Concerning rate vs rhythm control, which HAS to be treated no matter the reoccurrence of Afib
correct answers Rate
After several episodes of Afib, physician/patient may agree to stop treating rhythm but rate
MUST be controlled
All forms of Afib require both ______ and _______ correct answers (1) Rate control
(2) Anticoagulation
Concerning Afib treatment, presumptive measures are taken to treat ________ before
electrocardioversion regardless if this is present or not correct answers Clot
What is the first step in the approach to treat Afib? correct answers *Determine acuity*
After assessing the acuity of Afib, what is the next step? correct answers Gain control of
ventricular rate
If a patient is hemodynamically unstable and exhibiting severe symptoms of Afib (such as
ventricular rapid response, Vtac, or severe hypotension), what should IMMEDIATLY be
performed? correct answers Direct current cardioversion (DCC)
In this circumstance, do not delay cardioversion for anticoagulation
What 2 ways can a patient be cardioverted into normal sinus rhythm? correct answers (1)
Electrical
(2) Pharmacological
Afib belongs to a class of arrhythmias known as _____________ arrhythmia
What does this word mean? correct answers Supraventricular
"Above the ventricles"
In AFib, the heart is ________ instead of beating correct answers Quivering
Afib leads to _______ of blood in the atrium. What can this ultimately lead to? correct answers
Stagnation
Can lead to cardioembolic stroke as the clot embolizes to the brain and leads to ischemia
Risk factors for AF correct answers (1) Age
(2) HTN
(3) DM
(4) MI
(5) Obesity
(6) CT surgery
(7) Smoking
(8) Exercise (acute exercise)
(9) Alcohol use
(10) European ancestry (more prevalent in white compares to black)
(11) LVH
(12) LA enlargement
(13) Increased CRP
(14) Increased BNP
TTE vs TEE correct answers TTE: Transthoracic exam
Exam heart through surface of chest. Less invasive but less sensitive and accurate
TEE: Transesophageal exam
Exam where probe is inserted down esophagus. More sensitive and accurate but more invasive
Most common symptom of Afib correct answers Fatigue and rapid HR
AF Classifications
1) Paroxysmal AF
2) Persistant AF
3) Longstanding persistant AF
, 4) Permanent AF
5) Nonvavlular AF correct answers 1) AF that terminates spontaneously or with intevention
within 7 days of onset
2) Continous AF that is sustained >7 days
3) Continous AF >12 months of duration
4) This term is used when there has been a joint devision by the patient and clinician to cease
further attempts to restore/maintain sinus rhythm
5) Absence of valvular AF
Which ethnicity is more likely to suffer from Afib? correct answers White
Age >_____ is associated with increased risk of Afib correct answers 65
Concerning rate vs rhythm control, which HAS to be treated no matter the reoccurrence of Afib
correct answers Rate
After several episodes of Afib, physician/patient may agree to stop treating rhythm but rate
MUST be controlled
All forms of Afib require both ______ and _______ correct answers (1) Rate control
(2) Anticoagulation
Concerning Afib treatment, presumptive measures are taken to treat ________ before
electrocardioversion regardless if this is present or not correct answers Clot
What is the first step in the approach to treat Afib? correct answers *Determine acuity*
After assessing the acuity of Afib, what is the next step? correct answers Gain control of
ventricular rate
If a patient is hemodynamically unstable and exhibiting severe symptoms of Afib (such as
ventricular rapid response, Vtac, or severe hypotension), what should IMMEDIATLY be
performed? correct answers Direct current cardioversion (DCC)
In this circumstance, do not delay cardioversion for anticoagulation
What 2 ways can a patient be cardioverted into normal sinus rhythm? correct answers (1)
Electrical
(2) Pharmacological
