3
3 47 /F presents in the OPD for palpitations which have
been her concern for 8 months now. There is associated
chest pain but no dyspnea and dizziness. The BP is
100/70, CR 90/min; heart sounds are normal with no
extra sounds nor murmur, but you noted irregularly
irregular rhythm and skip beats.
Which of the following statement/s is/ are true?
A. cause, risk factors and assoc. cardiac/extra
cardiac cause should be determined
B. all patients with this condition needs initial anti-
thrombotic therapy
C. control of rate in this patient using digoxin is the
first line treatment
D. cardio version of the patient is recommended at
this point
A
Initial investigation should risk
factors, causes, thromboembolic risk
should be done.
Classification of the AF and
individualized therapy should be
done in giving anti-thrombotic
therapy.
First line treatment to control rate is
usually by using beta blocker and
CCB
Cardioversion is usually done in
hemo-dynamically unstable patients.
- 2014 AHA/ ACC/HRS for the
Management of AF