#150 Rhythm Control in Afib: 5 Pearls Segment

Core IM | Internal Medicine Podcast

Core IM Team

Mental Health, Education, Health & Fitness, Medicine

4.8 • 1K Ratings

🗓️ 24 April 2024

⏱️ 41 minutes

🔗️ Recording | iTunes | RSS

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Summary

What are the benefits of early rhythm control versus rate control alone? When is electrical cardioversion used and what information can it tell us? What side effects for amiodarone, dofetilide, and sotalol, propafenone and flecainide? When should catheter ablation be considered in patients with atrial fibrillation?

Time stamps:

02:05 Pearl 1 - Rhythm control
11:23 Pearl 2 - Electrical cardioversion
17:53 Pearl 3 - Class III antiarrhythmics and side effects
26:31 Pearl 4 - Class Ic antiarrhythmics and side effects
31:55 Pearl 5 - Catheter ablation

Tags: cardiology, primary care, CoreIM, IMcore, nurse practitioner, physician assistant, hospital medicine, pharmacy, nursing education, atrial fibrillation

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Transcript

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0:00.0	And now the latest guideline in direct response to E-Day F-Net 4,
0:05.0	will be recommending that every new atrial fibrillation patient
0:08.7	is started on rhythm control,
0:10.5	even within one year of their diagnosis.
0:12.4	So this is a bit of a paradigm shift in our field.
0:15.0	That's Dr. Rachina Navarro, an electrophysiologist trained at Washington University
0:20.0	before she became the founder of Safe B-R-X with a mission to improve rhythm disorders
0:24.2	using machine learning.
0:25.4	I'm Dr. Shirey Trevetti.
0:26.6	Welcome to the Core I Am Thai Pearls podcast bringing you high-yields evidence-based pearls.
0:32.0	And I'm Dr. Hannah Knaaus, an internal medicine resident at Beth
0:34.9	Israel. As Dr. Navarro alluded to, the focus of this episode will be the Pandora's
0:39.6	box and rhythm
0:43.3	management in H.Hil fibrillation.
0:45.6	Test yourself be pausing after each of the five questions.
0:48.3	Remember, the more you test yourself,
0:49.8	the deeper your learning games.
0:55.0	Pearl 1, rhythm control. What are the benefits of early rhythm control over rate control alone? Pearl II, electrical cardio version.
1:07.0	Once electrical cardio version used and what information does it tell us? Pearl 3, Class 3, Anti-Rythmics and Side effects.
1:13.0	What side effects.
1:23.0	What side effects should we monitor for when it comes to medications like amyodorone, doofetylide, and sodolol? Pearl 4, Class 1C Antyrhythmics and Side effects.
1:39.3	What side effects should we watch out for when it comes to medications like
	...

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