AF

ATRIAL FIBRILASI

Ass : valvular heart disease, non valvular.

IP Dx : CHA2DS2-VASc Score(2), HAS-BLED
IP Tx : Injeksi Digoxin 1x1 amp (0,5mg/2mL)
Warfarin 2 mg 1x1
bisoprolol 5-10mg 1x1
IPMx : ECG serial, Vital Sign, INR (target 2-3)
Ip Ex :
Explain about the disease
 CHA2DS2-VASc Score
CHF YES
HIPERTENSION YES
AGE >65 TH NO
DM NO
STROKE NO
VASCULAR DISEASE NO
MALE NO

CHA2DS2-VASc SCORE 2
RISK CATEGORY MODERATE RISK
ANTITHROMBOTIC RECOMENDATION ORAL ANTICOAGULATION
 HAS-BLED Score
HIPERTENSION (SBP >160 MMHG) YES
ABNORMAL RENAL FUNCTION NO
ABNORMAL LIVER FUNCTION NO
AGE > 65 NO
STROKE NO
PRIOR MAJOR BLEEDING NO
LABILE INR NO
TAKING DRUGS PREDISPOSING BLEEDING YES
ALCOHOL USE NO

HAS-BLED SCORE 2
RISK CATEGORY MODERATE
ESTIMATED MAJOR BLEEDING 4,9-19,6%
TERIMAKASIH