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What risk assessment tool The CHA2DS2-VASc-This scoring includes the
is recommended in addition of having vascular disease and being a
patients with nonvalvular female.
AF for assessment of
stroke risk?
This arrhythmia is commonly seen in young, healthy
individuals. Cardiac stimulants such as caffeine,
What are common causes
nicotine, alcohol, or over-the-counter medications
of PAC's (Premature Atrial
sometimes induce PACs. They may also occur in
Contractions)?
patients with right atrial dilation caused by obstructive
lung disease and heart failure.
A CHADS2 risk score of 2 Anticoagulation therapy is recommended for a
or greater indicates what? CHADS2 risk score of 2 or greater.
C- Congestive Heart Failure - 1 pt
H-Hypertension or treated hypertension - 1pt
What does the Acronym
A- Age >75- 1 pt
CHADS stand for?
D-Diabetes- 1 pt
S-Prior stroke of TIA- 2 pts
, The atrial rate differentiates atrial tachycardia from
atrial flutter. This rate difference is particularly
pertinent when the clinician is attempting to discern
whether the arrhythmia is an atrial tachycardia with a
heart block (as seen in digitalis toxicity) or an atrial
How is atrial tachycardia
flutter. Both rhythms can present with more than one
differentiated from atrial
observable P wave before the QRS. An atrial
flutter?
tachycardia rate (P-wave rate of 140-250 per minute) is
slower than an atrial flutter rate (P-wave rate of 250-
350 per minute). It is important for the clinician to
remember that the P-wave rate needs to be counted
separately from the QRS rate.
What block is observed 1st degree
with a regular rhythm and
only a prolonged P-R
interval?
What block occurs in the 2nd degree- Mobitz type I
AV nodal area with
progressive lengthening
of the P-R interval until a
QRS complex (ventricular
contraction) is dropped?
What block occurs within 2nd degree- Mobitz type II
or below the bundle of
His, with a P-R interval that
remains fixed. The
conduction ratio (P waves
to QRS complexes) is
commonly 2:1, 3:1, or 4:1.?