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Atrial Fibrillation (Examination (Significant Negatives (Murmur, Evidence…
Atrial Fibrillation
Examination
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Peripheral Inspection
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Cause
↑T4: tremor, thin, palmar erythema, sweating, eye signs
MS: mitral flush
Ix
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ECG
Confirm Dx: irregularly irregular, no P waves
Cause: ischaemia, P-mitrale
Hx
Symptoms: palpitations, dyspnoea, chest pain
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AF: Key Facts
Mx
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Rhythm control
Younger pts., treated precipitants
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Anticoagulation
CHA2-DS2-VAS Score
Determines necessity of anticoagulation in AF
Dabigatran may be cost-effective alternative to warfarin
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Score
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≥1: Warfarin (INR 2-3)
Contraindications
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Compliance issues: dosing, monitoring
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