Atrial Fibrillation

This clip talks about Atrial Fibrillation, and it's workup and management.

ENJOY!!

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[josephmedman]

Its written there under stable.patients you use beta.blockers or calcium.ch. blockers if the patient is stable. Amiodarone is.not first line at all unless the patient has a history of heart failure. The whole first column and first few minutes.of the algorithm isbtalking about medications in rate control what do you mean?

[drapolohi]

why u did not use medication for cardiovesion!?

[josephmedman]

of course i did..that is what is written and said in the first column to slow the rate down to 100 you use meds such as beta blockers and ca channel blockers to slow rate to <100..please listen again..

[LeSeigneurDuMalin]

At 0:39 you said the normal heart rate is (220-age); however this is actually the formula for maximum heart rate (the so called "Fox & Haskell formula").

[josephmedman]

you are absolutely right..sorry about that..it wil lbe revised this weekend..

[arbagy]

There is a mistake. If the patient is asthmatic, beta blockers are not the first line of therapy. They can exacerbate the asthma.

[diablo335533]

SOME BODY PLS TELL WHICH IS THIS BOOK MTB2 OR 3

[hopeso]

It's NOT spontaneous cardioversion if you use drugs. Spontaneous means, it happenned out of the clear blue with no known influence.

[josephmedman]

@Hosanaime please source where you are getting this standard from. I always learned that "dead people don't breathe" so if the patient has no pulse what good is CPR going to do? I will double check this but if you find a source, please add it if it says what you are saying and I will make changes accordingly. Thanks

[docoftheworld]

@josephmedman Hi Joe, thanks for replying, but its still unclear: Amiodarone is a pharmacological cardioversion agent, we use electrical cardioversion when the patient is unstable, my question is, when do we use Amiodarone then? where does Amiodarone fall in the algorithm? it cant fall with b-blockers or ca blockers since Amiodarone is NOT a rate control agent like those drugs, rather, its a rhythm control agent (i.e. cardioverter)