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Atrial Fibrillation (AFib) vs. Normal Rhythm: A Visual Guide Normal Sinus Rhythm: ✅Synchronized electrical impulse. ✅Clear P-wave before each QRS complex. ✅Efficient pumping = optimal blood flow. Atrial Fibrillation: ❌Chaotic electrical activity in the atria. ❌Missing P-waves. Irregular baseline ("fibrillary waves"). ❌Irregularly irregular ventricular response. ❌Blood pools, increasing stroke risk by 5x. Recognize the rhythm. Prevent the stroke. #Electrophysiology #MedicalSchool #Cardiologist #A
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The Core of AFib: Rapid,chaotic atrial activity ➞ an irregularly irregular ventricular rhythm. Your Management Checklist: ✅1. Assess Stroke Risk: CHA₂DS₂-VASc is your guide. ✅2. Anticoagulate: DOACs 1st-line. Warfarin for valvular AF. ✅3. Control Rate: Target resting HR <110 bpm (BB, CCB, Digoxin). ✅4. Consider Rhythm: For symptoms, think Ablation (PVI) 1st-line. AADs: Amio, Sotalol. Flecainide/Propafenone: reserve for structurally normal hearts. Know the causes: HTN, HF, Valvular Dz, CAD, OSA.
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