atrial fibrillation and stroke prevention - Continuing Medical ...
atrial fibrillation and stroke prevention - Continuing Medical ...
atrial fibrillation and stroke prevention - Continuing Medical ...
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Essentials in Primary Care Conference<br />
Wednesday, July 31, 2013<br />
Who Develops Atrial Fibrillation<br />
Etiology/Risk factors<br />
• Structural heart disease (valvular disease)<br />
• Age (the older the more likely)<br />
• Hypertension<br />
• Pericarditis<br />
• Pulmonary Embolism<br />
• Chronic Lung Disease<br />
• Hyperthyroidism<br />
• Pneumonia<br />
• Others<br />
Bosiak M et al. Cardiol J. 2010;17:437-442.<br />
Approaches To Atrial Fibrillation<br />
1. Identify <strong>and</strong> treat reversible causes<br />
(pneumonia, hyperthyriodism, holiday<br />
heart, etc.)<br />
2. Workup with TSH, Metabolic Panel, Echo<br />
(LV function, rule out valvular disease),<br />
Consider Ischemia as an etiology<br />
3. Evaluate for rate vs rhythm control<br />
4. Stroke Prevention-Anticoagulation therapy<br />
Jan Basile, MD<br />
Atrial Fibrillation & Stroke Prevention