tailieunhanh - Ebook Practical approach to cardiovascular medicine: Part 2

(BQ) Part 2 book "Pocket protocols for ultrasound" presents the following contents: Arrhythmias and sudden cardiac death, cardiovacular disease in special populations, specialized testing and therapeutics. Invite you to consult. | SECTION V V Arrhythmias and Sudden Cardiac Death CHAPTER 13 13 Atrial Fibrillation and Flutter Marco Perez and Amin Al-Ahmad Department of Internal Medicine Division of Cardiology Stanford University School of Medicine Stanford CA USA Atrial Fibrillation Atrial fibrillation AF is characterized by disorganized electrical activity in the atrium leading to loss of effective atrial contraction Figures and . Most common arrhythmia affecting 1 of the United States population. Associated with an increased risk of stroke up to 5 per person year in the elderly and death. Classification Paroxysmal recurrent episodes lasting 7 days Persistent recurrent episodes lasting 7 days often requiring cardioversion Permanent episodes lasting 1 year Other terminology used Lone AF No associated hypertension or evidence of cardiopulmonary disease Usually applies to younger patients with a stronger genetic link Implies a lower risk of thromboembolism Can be paroxysmal persistent or permanent Acquired AF not lone AF Chronic AF term formerly used to refer to permanent AF Familial AF AF that runs in families with a Mendelian pattern of inheritance. Work-up of New-Onset AF Assess for associated conditions hypertension heart failure valvular disease chronic obstructive pulmonary disease COPD pulmonary embolism hypertrophic cardiomyopathy myocardial infarction MI A Practical Approach to Cardiovascular Medicine First Edition. Edited by Reza Ardehali Marco Perez Paul Wang. 2011 Blackwell Publishing Ltd. Published 2011 by Blackwell Publishing Ltd. .

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