Medicine 491 Atrial Fibrillation Arrhythmia Stroke cause Heart Lone cause ecg RACE rivaROXIBAN 

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0:00 Introduction - most common arrhythmia Atrial fibrillation, Old Age 0:30 ectopic beats from Pulmonary Veins 3:00 ECG - P wave twitch, Irregularly irregular rhythm 5:25 Causes of Atrial Fibrillation - Old Age, Rheumatic, Sick Sinus Syndrome, HyperThyroidism, 9:10 Clinical Features - Stroke 11:10 Investigations - ECG, Thyroid Function TEst, EchoCardiogram 13:00 Management of Persistent AF --Rate - If tachycardia esmolol, verapamil If heart failure - digoxin --Prevent stoke ------Factor 10 a inhibitor - riva ROXI BAN ------Direct Thrombin inhibitor - daBIGAtran ------previously used Warfarin ------16:50 Stroke Risk CHA2DS2 VASc (max 9 points) ------17:50 HAS-BLED Bleeding risk due to anticoagulant --19:00 Anti Arrhythmic Drugs ------Chemical cardioversion - ibutilide, amiodarone ------Electrical cardioversion (risk of embolization) first give IV Propofol then DC 200J biphasic 21:10 REVISION --24:30 RACE - mnemonic for treatment (Rate, AntiCoagulatant, Chemical CardioVersion, Electrical Cardioversion)

Name of drug is riva ROXI BAN

21:10 Revision