#363 Afib: Rhythm Control, Catheter Ablation, Afib in the hospital, and Left Atrial Appendage Closure

The Curbsiders Internal Medicine Podcast

Health & Fitness, Medicine, Science, Higher Education, Education

4.8 • 3.1K Ratings

🗓️ 31 October 2022

⏱️ 53 minutes

🔗️ Recording | iTunes | RSS

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Summary

Optimize and update your approach to atrial fibrillation (afib) as we discuss early rhythm control, antiarrhythmic drugs, TTE/cardioversion, afib ablation, new onset afib in the hospitalized patient, and left atrial appendage closure. Plus, we try to answer, Does afib burden matter? Our guest is cardiologist-electrophysiologist, Hugh Calkins MD, @hughcalkinsMD, Professor of Cardiology at Johns Hopkins, @hopkinsheart.

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Show Segments

Intro, disclaimer, guest bio
Guest one-liner
Case from Kashlak; Definitions
An approach to new-onset afib in the office
Rhythm control
Lifestyle modification is a pillar of afib treatment
Indications for hospitalization in afib
More on rhythm control and when to pursue afib ablation
Rhythm control in heart failure
New onset afib in the hospitalized patient
Does afib burden matter?
Left atrial appendage closure
Watto and Paul recap what we’ve learned
Outro

Credits

Written and Produced by: Matthew Watto MD, FACP
Show Notes: Matthew Watto MD, FACP
Cover art and Infographic by:
Hosts: Matthew Watto MD, FACP; Paul Williams MD, FACP
Reviewer: Emi Okamoto MD
Showrunners: Matthew Watto MD, FACP; Paul Williams MD, FACP
Technical Production: PodPaste
Guest: Hugh Calkins MD

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Full transcript HERE

Transcript

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0:00.0	The Curbsiders podcast is for entertainment, education, and information purposes only.
0:03.3	And the topic's discussed, should not be used solely at Diagnostreat, cure, or prevent
0:05.8	any diseases or conditions.
0:06.8	For the more the views and statements expressed on the spot, guess where solely those of
0:08.6	those, and should not be interpreted for a superficial policy or position of any entity
0:10.8	aside from possibly cash like more hospital and affiliate outreach programs.
0:13.2	If indeed there are any, the fact that there are none.
0:15.0	Pretty much we are responsible if you screw up, you should always do your own homework
0:16.9	and let's know when we're all.
0:19.5	Welcome back to the Curbsiders.
0:24.1	I'm Dr. Matthew Wato here with my great friend, Dr. Paul Nelson Williams.
0:28.5	Paul, how's it going tonight?
0:30.4	It's going great, Matt.
0:31.4	Thanks for asking how are we doing.
0:33.2	So polite.
0:34.2	Paul, we had a great, very illuminating discussion about atrial fibrillation, bit of an update
0:40.6	with Dr. Hugh Colkins.
0:42.8	Paul, before I tell them a little bit more about our guests, would you remind people, what
0:47.0	is it that we actually do on the curbsiders?
0:50.0	Sure, Matt.
0:51.0	Happy to.
0:52.0	We are the internal medicine podcast.
	...

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