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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

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