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Atrial Fibrillation (Persistent AF
7d, may recur even after…
Atrial Fibrillation
Persistent AF
7d, may recur even after cardioversion
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Paroxysmal AF
Self-limiting, <7d, recurs
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Rx “pill-in-pocket” : flecainide, propafenone
Prevention: β-B, sotalol or amiodarone
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CHA2-DS2-VAS Score
- Determines necessity of anticoagulation in AF
- Warfarin CI in AF
- Bleeding diathesis, ↓plats, BP > 160/90, poor compliance
- Dabigatran may be cost-effective alternative.
CHA2-DS2
- CCF
- HTN
- Age ≥75 (2 points)
- DM
- Stroke or TIA (2 points)
VAS
- Vascular disease
- Age: 65-74yrs
- Sex: female
Score
- 0: aspirin 300mg
- ≥1: Warfarin
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