Saturday, November 9, 2013

Atrial Fibrillation, AF(心房顫動)

症狀/併發症(symptom/complication)
@heart rate is up to 350~400/Min
@sustained: longer than 30 seconds
@Palpitations
@chest tightness
@dyspnea
@syncope
@heart failure
@stroke: thrombus from atrium to brain
@mediated cardiomyopathy
@heart enlargement
@Thromboembolic events
complication
@thrombosis in atrium
病因(etiology)

檢查/準則(examination/criteria)
#ECG: P wave is absent and QRS is irregular
資料來源:afib.utorontoeit
##P wave in Leads I, II, and III show the classical appearance of AF, the "undulating baseline"
資料來源:dochemp
#evaluation: CHADS2 Score
治療(treatment)
$CHADS2 Score>2 use warfarin to prevent thrombosis
$CHADS2 0 or 1-->use aspirin to prevent thrombosis
$catheter modification/ablation
$AV node blocker: digoxin, verapamil, beta-blockers
$anti-arrhythmia drug: Class IC, III
$electrical cardioversion
$心臟再同步化治療(Cardiac resynchronization therapy, CRT)
$Anticoagulants, ex: warfarin to prevent thrombosis
鑑別診斷(Differential Diagnosis)

流行病學(Epidemiology)
+most common arrhythmia
+elder and hypertension patient is usually seen

看更多see more疾病(disease)
HomeAny source

No comments:

Post a Comment