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Unformatted text preview: HTN, age >75 yr, diabetes – 2 points Stroke or TIA – Score is then added up Resulting score used to determine most appropriate antithrombotic therapy (e.g. warfarin or aspirin) for patient Stroke Risk Stratification
Stroke Risk Stratification Low risk – CHADS2 score = 0 Intermediate risk – CHADS2 score = 1 High risk – CHADS2 score ≥ 2 Definitions
Definitions Paroxysmal AF – Duration < 7 days (often < 24 hours)
– Terminates spontaneously Persistent AF – Duration > 7 days
– Usually requires cardioversion (electrical or pharmacological) to restore sinus rhythm Definitions
Definitions Recurrent AF ≥ 2 episodes of paroxysmal or persistent AF Permanent AF – Persistent AF that cannot be successfully converted to sinus rhythm OR
– Patient isn’t a candidate for cardioversion Medical History
Medical History Patient history – Duration of arrhythmia
– Try to look for a cause!! Symptoms of AF
Symptoms of AF Palpitations ↓ exercise tolerance Dizziness Syncope Fatigue Heart failure Dyspnea Weakness exacerbation Angina Physical Examination
Physical Examination Irregularly, irregular ventricular rhythm Pulse deficit – Difference b...
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This note was uploaded on 06/01/2013 for the course ECON 2301 taught by Professor Lipsh during the Fall '12 term at Broward College.
- Fall '12