Fib or fact
Atrial fibrillation is associated with a higher incidence of heart failure
True, can lead to tachycardia-induced cardiomyopathy and worsen heart failure
Being this gender increases your risk for atrial fibrillation
What is male
According to the AHA this B-blocker is okay to use for rate control and GDMT in patients with heart failure and atrial fibrillation secondary to cocaine use
What is coreg
What is the lifetime risk of developing atrial fibrillation in the US?
It was been found that rhythm control provides greater mortality benefit than rate control in the treatment of A-fib
False
(AFFIRM trial in 2002 and STAF trial in 2003) found no significant difference.
State that causes increased cardiac output, fluid retention, and hormonal changes can lead to atrial fibrillation
What is pregnancy
This drug, used for rate control in atrial fibrillation may be preferred during a heart failure exacerbation, and what is its goal blood level
What is digoxin (goal level between 0.8-2.0 ng/ml)
Should patients with presumed atrial flutter who are undergoing pulmonary vein isolation also undergo cavotricuspid isthmus ablation for atrial flutter?
Yes, multiple studies (APPROVAL trial) have shown that combined ablations resulted in significantly lower recurrence rate of arrhythmias when compared to atrial fibrillation ablation alone (likely 2/2 to underlying unrecognized atrial flutter)
Aflutter ablation: around 75% success for paroxysmal, 40% for peristent
Afib ablation: >90% success rate,
This singer has said that a fib has been a “wrecking ball” to her life
Who is Miley Cyrus
Catheter ablation is more effective than antiarrhythmic drug therapy in maintaining sinus rhythm in patients with atrial fibrillation who have failed previous rhythm control strategies.
Catheter ablation is generally more effective than antiarrhythmic drug therapy in maintaining sinus rhythm in patients who have failed previous rhythm control strategies
This activity commonly performed during the holidays can cause atrial fibrillation
What is Binge drinking or "holiday heart syndrome"
This Class III antiarrhythmic drug is often used for rhythm control in atrial fibrillation. (loading doses outpatient then maintenance dose)
What is amiodarone. Total loading dose of 6g (usually 400-800 BID, can do TID if hospitalized) with a maintenance dose of 100-200 mg daily after
According to 2023 ACC guidelines, patients with noted atrial fibrillation on apple watch, patients should still receive monitoring (holter, zio patch, ekg's) for confirmed diagnosis of atrial fibrillation
True
Recent studies list the sensitivity of apple watches detecting afib at around 70% and sensitivity of around 97% (still some false negatives, but rare false positives)
The 46th president of the United States
Who is joe biden
Anti-arrhythmic drugs have been shown to significantly reduce the risk of stroke when used for rhythm control.
False, only anticoagulation therapy has been shown to reduce stroke risk.
This common A-fib risk factor just recently had its first and only medication FDA approved for treatment
What is Sleep apnea (Zepbound)
A rhythm control strategy, cardioversion, can proceed without TEE if there has been uninterrupted anticoagulation for how long? Patient should receive a dose of their DOAC how close to their TEE?
What is 3 week, and should receive a dose of eliquis or xarelto 1-2 hours prior to TEE
The risk of post-operative atrial fibrillation is higher during which post operative days
days 1-3
Celtics basketball legend, who know works for the Indiana pacers
Patients with atrial fibrillation who have a coronary stents placed should always be on dual anti-platelet therapy (DAPT) in addition to anticoagulation
False, Studies such as PIONEER AF-PCI and RE-DUAL PCI have shown that dual therapy can be as effective in preventing stroke and stent thrombosis, with a lower bleeding risk compared to triple therapy. However, may be used for a brief period 1-3 months for patients who are high risk for stroke/stent thrombosis
This part of medical training can be a trigger for atrial fibrillation
what is sleep deprivation, excessive caffeine intake, stress
This medication class is often considered in rhythm control for atrial fibrillation but has a risk of proarrhythmia, and often contraindicated in patients with structural heart disease
What are Class I antiarrhythmics (e.g., flecainide or propafenone)
What LA size is noted to be the cutoff for significantly decreased success rate of Afib ablation
What is 4.5cm (anything higher with high risk of afib recurrence)
This member of Kiss was well known to have afib
Who is Gene Simmons