Basics of Atrial Fibrillation
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- เผยแพร่เมื่อ 4 ต.ค. 2024
- This video reviews the basic pathophysiology of atrial fibrillation (AF). I review common medications we use including rate control medications, anticoagulation, and antiarrhythmic. I then explain some of the common comorbidities that can make AF worse or increase your risk of developing atrial fibrillation. Finally I go over possible long-term complications and procedures we can perform to aid in the management of AF.
This video is taught at a medical student and resident level but can also be helpful for patients who want a deeper understanding of atrial fibrillation.
Some of the antiarrhythmics I discuss include amiodarone, dronedarone, flecainide, sotalol, and dofetilide.
Procedures I discuss include atrial fibrillation ablation, Watchman device, direct current cardioversion (DCCV), transesophageal echo (TEE), permanent pacemaker placement in the setting of sick sinus syndrome or tachy-brady syndrome, and AV nodal ablation with pacemaker placement.
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This video was excellent. I’m an Np in a CVICU and although none of this was totally new information, I really appreciate the way you presented it and I’m taking away many talking points for conversations with my patients and their families.
Warms my heart to hear that
Clearly explained. Thanks!
Thank you. Very informative. 😊
these types of vids are so useful, doc! you're a wealth of knowledge!
Great review on AFib , Dr. Katz!
Thanks! 😃
Hey Dr. Katz. Loved your overview into a fib. Would really be interested in a similar overview of PAH in the future!
Woof PAH is one hell of a topic. Working on a heart failure video but will definitely start brainstorming a pulmonary hypertension video as well!
My dad has perm AFIB and he had to get a ICD implanted in his chest (cig, obese, alcohol bad sleep)
wow, great video!
Thank you! 😊
Awesome video can you talk about radona Vaught case
Been composing my thoughts on the matter and talking to my nursing colleagues before putting something out. But working on it
@MarcKatzMD awesome thank you so I want to go college to become a cardiac electrophysiology
What about propafenones use
When it's better to use cryo treatment and when you use ablation
I appreciate these videos. I'm a new grad RN working on a cardiac unit. When I am taking care of a CABG patient they have chest tubes and pacer wires. I have never seen the pacer wires used. When would you use them? My patient went into Afib RVR and was put on amiodarone and metoprolol, but their heart rate was still not controlled. The night shift nurse said they should have used the pacer wires to convert him out of it. Is that correct?
That is incorrect. Temporary pacing wires in post-operative CABG patients are not typically used to perform direct electrical cardioversion (DCCV) so I'm not sure if perhaps there was a miscommunication in what your colleague meant. Additionally, performing DCCV requires mandatory therapeutic anticoagulation for at least 30 days which may not be the best option for every post-op patient. Temporary pacing wires are however the perfect back up system in case we overdo it with rate/rhythm control causing bradycardia as the pacing wires would begin to pace the patient when the ventricular rate drops below a preset threshold.
Thank you so much for the information. It helps so much to have a better understanding of patient care. I will also update my peer.@@MarcKatzMD
Thanks for this; as an upcoming IM intern are there any resources you recommend using to go over EKGs before July?
My ordinary rec is to just enjoy yourself before residency. But if you want the gold standard high level ECG book it’s this: www.amazon.com/Complete-Guide-ECGs-James-OKeefe/dp/1284066347?_encoding=UTF8&tag=kitt0a3-20&linkCode=ur2&linkId=35fce2b6f9418c8c8af916423b4114e1&camp=1789&creative=9325
@@MarcKatzMD Thanks for the feedback Dr. Katz. I’m looking forward to using your videos to better myself throughout residency.
@@abelleh1 good luck on residency! Will try to keep making videos to help residents in their cardiology rotation. Working on a heart failure video next!
@@MarcKatzMD Much appreciated Dr. Katz. As someone who is interested in doing a cardiology fellowship, I am looking forward to your videos.
when someone has an Ablation procedure and was determined to not be effective . was there any chance it might be effective let's say after a year after when the heart healed ? or is it either good or fail immediately- i've also heard of people having several Ablations .
Little bit of both. Generally, the longer you’re in AF the harder it is to get out of it. Nowadays an upfront ablation can be more effective than waiting several years. So yes sometimes people need repeat ablations. But you’re healed well before a year after an ablation. So it’s not an absolutely specific amount of time to know if failed or not. But we will know after a few months