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EM Clerkship

Atrial Fibrillation (Deep Dive R30)

EM Clerkship

Zack Olson, MD ; Mike Estephan, MD ; Maddie Watts, MD

Education, Science, Life Sciences, Courses, Health & Fitness, Medicine

5 β€’ 795 Ratings

πŸ—“οΈ 15 February 2022

⏱️ 18 minutes

🧾️ Download transcript

Summary

AFib with Rapid Ventricular Rate (RVR) – Rate >110 Primary AFib – Patients symptoms or their hemodynamic instability is due to the AFib itself. Treatment is by rate or rhythm control. Secondary AFib – Patients AFib rate or their hemodynamic instability is due to an underlying secondary process (eg thyrotoxicosis, PE, sepsis, drugs, etc). Treatment […]

Transcript

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0:00.0

Hello, students. My name is Mike Estefan, and I thank you for joining me today on this month's

0:05.9

episode of the EM Clerkship Podcast. Buckle up friends, because this month we're going to be talking about

0:12.5

atrial fiprelation. Before we begin, I would like to share a quick word from our sponsors from the

0:18.2

folks over at Pearson Ravits Insurance.

0:21.4

I cannot stress how important it is for you to get disability insurance when you are a resident.

0:28.6

As a resident, you will see rates lower than at any point in your career.

0:33.4

Stephanie Pearson and her team at Pearson Ravits have years of experience helping physicians

0:38.6

like you and I obtain disability insurance. One of the reasons that Stephanie started her company

0:44.1

was because she was sick and tired of being misled by other predatory insurance companies.

0:49.9

Don't wait until it's too late. Please check out PearsonRavits at www.personravits.com and schedule a consultation appointment

0:59.3

today.

1:00.3

Now, back to our episode.

1:02.8

So atrial fibrillation in the ED can actually get kind of complex.

1:07.3

It's one of my favorite topics, and so I apologize in advance if I go into a little too much detail, but I'm super excited to give this talk.

1:15.1

Be sure to give it a second listen if you need to, to let this information sit and absorb.

1:19.7

I'm going to start with a quick overview covering the basics, and then we will deep dive.

1:23.7

So let's begin.

1:24.6

Aphib is defined as an irregularly irregular rhythm without P-waves on EKG, and it's usually

1:31.4

narrow complex, but in some weird situations, it can become wide complex.

1:36.8

People with AFIB most often present with symptoms directly due to the AFIB itself,

1:41.7

such as chest pain, shortness of breath, palpitations, lightheadedness,

1:45.2

dizziness, etc.

...

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