Atrial fibrillation (AF) is the most common sustained cardiac rhythm disorder with evidence suggesting an increasing prevalence and incidence worldwide [1]. It is the most common arrhythmia seen in clinical practice and is associated with plenty of morbidities and mortalities, e.g. stroke and heart failure. The clinical subtypes of AF are paroxysmal, persistent, longstanding persistent and permanent AF. Paroxysmal atrial fibrillation is defined as atrial fibrillation that is self-terminating, usually within 48 h. Persistent atrial fibrillation is present when an episode of atrial fibrillation either lasts longer than 7 days or needs cardioversion. Longstanding persistent atrial fibrillation has lasted for 1 year or more and is when arrhythmia
- The goals of treatment include a decrease in ventricular response (to less than 100 beats/minute), prevention of stroke, and conversion to normal sinus rhythm, if possible. To accomplish this, I would expect the health care provider to initially order drugs to control the ventricular rate, such as calcium channel blockers, beta-adrenergic blockers, digoxin, and dronedarone. For some patients, pharmacologic or electrical conversion of the atrial fibrillation to normal sinus rhythm may then also be considered, such as by using amiodarone or electrical cardioversion. If the atrial fibrillation lasts for longer than 48 hours, anticoagulation therapy will be needed for 3-4 weeks before the cardioversion and for weeks after as well. If drugs or cardioversion do not work, radiofrequency catheter ablation and the Maze procedure would be expected as further options.
This case study discusses the management of a 68 year old male who presented with chest palpitations secondary to rapid atrial fibrillation. Atrial fibrillation is a common cardiac arrhythmia with serious complications if not treated correctly. This essay will discuss the initial clinical presentation of the patient and examine the management and outcome of the interventions applied. The significance of atrial fibrillation including its pathophysiology and aetiology will also be discussed.
Atril fibrillation, also known as Afib, causes problems with the heart's electrical impulse system resulting in an Afib irregular heartbeat. The most common type of heartbeat problem, Afib affects 2.2 million people in the United States.
An EKG would be the first test completed on Mrs. Lee; evaluating her cardiac rhythm and rate. The symptoms described by Mrs. Lee suggests atrial fibrillation. To determine atrial fibrillation via EKG we would be looking for an irregular rhythm, a very fast rate, absent p-waves, an absent PR interval and an either normal or widened QRS (Heart and Stroke, 2017).
You have made a great observation that, in order for Ana to receive quality health care at this facility, she is in need of a nutritional assessment in how to incorporate the restriction that she is now faced with, in regards to her recent diagnosis of Atrial fibrillation. I would agree, Ana and her brother will need assistance in getting Medicaid approved, as well as, locating any additional programs that she may now qualify for. Thank for sharing.
For those patients that have history of atrial fibrillation (AF)/atrial flutter (AFL) a more in depth assessment is done to find why the patient converted back to AF/AFL, is it related to new changes at home, non-compliance of medications or something else. Sometimes patients stop taking medication related to financial difficulties, all possibilities
In John Steinbeck’s Of Mice and Men, loneliness can be caused by race as shown in Crooks who is the only person on the ranch of color. When all the ranch workers left for the town Lennie stayed behind so he decided to walk around the ranch and he sees a man and wants to talk to him but, the man says he does not want Lennie to come in so they talk outside of his room. Lennie does not understand the idea of racism so he is different fromt the other ranch workers. Lennie starts to talk with Crooks and he says “well, I got a right to have a light, you go on get outta my room. I ain’t wanted in the bunkhouse, and you ain’t wanted in my room”(Steinbeck 68).
For many years, America has struggled with equality. Through all the assumptions and stereotypes, America has been beaten. The amount of inequality in America has dramatically decreased throughout the years. Social equality is something that everyone has always wanted. One of the biggest inequalities is African American rights. Constantly there is always a change being made that has made African American rights much better. Within Harper Lee’s novel, To Kill a Mockingbird, the audience is introduced to social equality by Scout Finch in Maycomb, Alabama. Consequently, since she is so young, she struggles to understand why there is inequality in the 1930s. Through all the harsh comments and assumptions of character interaction in the novel and
Other hemodynamic effects have also been reported with usage of ivabradine. In a study by Kurtoglu et al, ivabradine was seen to improve heart rate variability in non-ischemic patients with heart failure. (26). De Luca et al showed that addition of ivabradine to optimal medical therapy in patients with stable heart failure with preserved ejection fraction with New York Heart Association (NYHA) class II, left ventricular ejection fraction (LVEF) > 50% and heart rate > 70 bpm, significantly improved physical performance by increasing exercise capacity (27). Another study in patients with stable ischemic heart failure, NYHA functional class II and LVEF ≤ 40%, confirmed these findings and additionally showed an improved gas exchange (with improvement
Prevalence, age distribution, and gender of patients with atrial fibrillation: analysis and implications. Arch Intern Med. 1995; 155:469-73.
Cardiac dysrhythmias come in different degrees of severity. There are heart conditions that you are able to live with and manage on a daily basis and those that require immediate attention. Atrial Fibrillation is one of the more frequently seen types of dysrhythmias (NIH, 2011). The best way to diagnosis a heart condition is by reading a cardiac strip (Ignatavicius &Workman, 2013). Cardiac strips play an chief part in the nursing world allowing the nurse and other trained medical professionals to interpret what the heart is doing. In a normal strip, one can clearly identify a P wave before every QRS complex, which is then followed by a T wave; in Atrial Fibrillation, the Sinoatrial node fires irregularly causing there to be no clear P
The episodes of atrial fibrillation can come and go or remain permanently and cannot usually be corrected without surgical intervention. This could be caused by hypertension,
There no direct cause as why to atrial fibrillation occur but, there is many other disease and disorders that Atrial Fibrillation is associated with. For example Atrial Fibrillation is closely associated with heart attack due to the fact that a during a heart attack the coronary artery is unable to supply oxygen to the heart which then causes the muscles in the heart to starve for oxygen. This can then lead to the death of some muscle tissue in the heart which then can lead to AFib. Hypertension also play a role in AFib, Hypertension (high blood pressure) is a constant high pressure of blood against the walls of the artery (arteries are the blood vessel that carry blood from the heart to our body parts) (A blood vessel is a tube which carries
Today millions of Americans live or have lived with Atrial fibrillation. The main concern with this health issue is that many people who lived with it sometimes are not aware of it. Atrial fibrillation is defined by Mayo Clinic (2012) as “an irregular and often rapid heart rate that commonly causes poor blood flow to the body”. It occurs when the four chambers of the heart have a disrupted rhythm. The abnormal functionality of health may lead to a stroke because of the possible blood clot that will be formed. The Atrial fibrillation or Afib put the body in a situation without oxygen and nutrients because the body is not well supplied by a heart that is became weak. In general, only few people will feel change in their heartbeat. They may verbalize
Ernest Miller Hemingway was an American novelist and short-story writer, and awarded the Nobel Prize for Literature in 1954. Hemingway was born July 21, 1899, Cisero, Illinois, U.S., as the first son between Clarence and Grace Hemingway, and died by suicide in his home on July 2, 1961, Ketchum, Idaho. While reaching incomparable fame and success to other 20th century American authors, Hemingway completed seven novels, six collections of short stories, and two works of non-fiction that were published during his lifetime.