Atrial Filbrillation - created from Mind Map

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presenting complaint + history

Paroxysmal

Medication

Natural History of disease

SOB + dizzy + fainting

AF 2.5 years

ECG 3 weeks ago = need pacemaker

getting worse for 2.5 years, much worse last months

16.4s gap in heart beat

episodes come and go, and usually stop within 48 hours without any treatment

Apixabam

Digoxin

Bisoprolol fumarate

Teicoplanin

Direct inhibitor of factor Xa

Stopped before op

anticoagulent

Side effects = nausea, anaemia, bruising, haemorrhage

Factor Xa - converts prothrombin to thrombin

to help maintain a regular heart rate and increase strength of beat

Cardiac glycoside

increase force of myocardial contraction

decreases conductivity within AV node

Reducing conductivity within AV node

hypertention

beta-adrenoceptor blocker

nausea, dizziness, vomiting, blurred vision, yellow vision

Glycopeptide antibacterials

Side effects = diarrhoea, dizziness, fever headache, nausea, tinnitus, broncospasm

aerobic and anaerobic gram positive

can act against multi-resistant staphylococcus aureus

Reduced succecptibility against to glycopeptides and reports of glycopeptide-resistant enterococci

More common in hypertension, atherosclerosis, or a heart valve problem

Untreated Af --> increases risk of strokes, weaken heart,

can increase heart rate to 140-180bpm

usually starts as paroxysmal episodes and then becomes permanent