ATRIAL FIBRILLATION
ROLE OF NEW ORAL ANTICOAGULANTS
HANOI MEDICAL UNIVERSITY
Department of Cardiology
HARVARD MEDICAL SCHOOL
Beth Israel Deaconess Medical Center
Dr. NGUYEN TUAN HAI
For primary care doctors
65 year – old lady
No hypertension, no diabetes
Palpitations, fatigue + shortness of breath during the
past month
Physical examination:
–CVS:
•BP: 120/80 mmHg
•HR: 130 bpm, irregular
•HS: no murmurs
•JVP , peripheral edema (+)
–RS:
•Chest clear
–GIS: NAD
CASE REPORT
ECG
1. What is the diagnosis?
2. What questions should be addressed in order to manage this patient?
3. How would you manage this patient over the first 24 hours?
4. How would you manage this patient subsquently?
ATRIAL FIBRILLATION
?
Supraventricular tachycardia
Characterized by replacement of consistent P waves with rapid
oscillation of fibrillatory waves, varying in amplitude, shape, and timing
Associated with an irregular and frequently rapid ventricular response
(with intact AV conduction)