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Articles Tagged With: fibrillation

  • Arterial Ischemic Stroke: Mechanisms and Management

    Stroke is a common problem, affecting nearly 800,000 people annually in the United States and serving as a leading cause of significant long-term disability. This article begins with a brief discussion of stroke epidemiology and then provides an overview of the various stroke mechanisms, setting a framework for which to consider etiology-specific stroke management.

  • What Device-Detected Atrial Fibrillation Burden Reveals About Stroke Risk

    In a retrospective analysis of electronic health record data matched with remote pacemaker and implantable cardioverter-defibrillator recordings of atrial fibrillation episodes, a threshold daily arrhythmia burden portending higher stroke risk was determined over a range of CHA2DS2-VASc scores.

  • Smartwatches for the Diagnosis of Atrial Fibrillation

  • Evidence-Based Management of Arrhythmic Medications for the Emergency Department

    Medications are frequently used in the emergency department to help restore conduction of normal cardiac electrophysiology. This article will briefly review arrhythmias and discuss commonly used and new medications with their indications, side effect profile, and contraindications to use.

  • A Review of Atrial Fibrillation and Current Therapeutic Strategies: Part 1

    This two-part series presents a review of the current evidence on atrial fibrillation. The first part includes its definition, classification, risk factors, comorbidities, evaluation, and acute management of newly diagnosed patients. The second part will focus on long-term management, including risk factor modification, rate and rhythm control measures, stroke risk stratification, and anticoagulation management.

  • Chocolate for Primary Prevention of Atrial Fibrillation

    In a large, population-based, prospective cohort study of Danish people aged 50-64 years, researchers found that chocolate intake was inversely related to incidental rates of atrial fibrillation and atrial flutter.

  • Evidence-based Management of Atrial Fibrillation in the Emergency Department

    This article provides an overview of atrial fibrillation (AF) and evidence-based guidance on controversial aspects of AF workup and management in the emergency department. The evidence is provided to help safely reduce unnecessary testing and expand the emergency provider’s management armamentarium to include electrical and pharmacologic conversion in recent-onset AF patients.

  • Tachycardia

    The recognition, diagnosis, and treatment of tachycardia is a cornerstone of emergency medicine practice. This article will cover the most commonly seen supraventricular and ventricular tachycardias encountered in the ED, with a focus on their electrocardiographic diagnoses and treatment options.

  • Is Anticoagulant Bridging Needed in Patients with Atrial Fibrillation Going to Surgery?

    In patients with atrial fibrillation who had warfarin treatment interrupted for an elective operation or other elective invasive procedure, forgoing bridging anticoagulation was not inferior to perioperative bridging with low molecular weight heparin for the prevention of arterial thromboembolism and decreased the risk of major bleeding.

  • Postoperative Atrial Fibrillation Management — You Can’t Go Wrong

    Rate control and rhythm control strategies for cardiac surgery patients with postoperative atrial fibrillation lead to similar hospital durations, similar complication rates, and similar very low rates of atrial fibrillation at 60-day follow-up.