1.07.2011

more medicine clinic notes a-fib

a-fib normally irregularly irregulary

a-fib w/complete block has normal rhythm because AVnode takes ove and rhythm is junctional


Afib types


Paroxysmal

Non-paroxysmal

Persistent

Permanent


Atrial remodeling is

Cellular - interstitial fibrosis (increased ACE and TGFbeta)

Molecular remodeling - ^HR --> ^Ca concentration --> increased Ca channel formation --> decreased contractile strength --> atrial dilation and fib...


A-fib and decompensation must cardiovert!


Rate vs rhythm control no difference in outcomes, women

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