Using the American College of Cardiology Atrial Fibrillation Management

Using the American College of Cardiology Atrial Fibrillation Management Guidelines Review 1 patient record for Afib Management.

Instructions

Select 1 individual age >64 years of age from your clinical rotation. Review the patient’s EMR. Please maintain HIPAA compliant documentation in your paper and upload it as a Word document.

Atrial Fibrillation review
Provides an analysis using all four of the following tools:
SAF Scale
| CHA2DS2-VASc
HAS-BLED
Antithrombotic therapy and AFib medications
Provides thorough analysis of antithrombotic and Afib medications.

Patient education for antithrombotic and AFib medications.
Provides thorough and appropriate patient education for antithrombotic and Afib medications.
Patient documentation meets HIPPA guidelines
Does not disclose Protected Health Information (PHI) identifiers.
Citations and Formatting
Provides five references
that are relevant to
content and published
within the last five years

CASE PATIENT*
Black GENDER: Male AGE: 83
HPI: The patient is an 83 y/o male with a PMH significant for hyperkalemia. He is currently in care at AGCC. Cardiology was consulted to start in-house management of unspecified atrial fibrillation, chronic systolic (congestive) heart failure, essential (primary) hypertension. His warfarin for his Afib is on hold due to supratherapeutic INR of 7.2. His INR from yesterday is down to 5.4. He has no cardiac complaints.

HISTORY: 12-Lead ECG, 4/10/22: 1. ATRIAL FIBRILLATION WITH RAPID VENTRICULAR RESPONSE. Echocardiogram, 3/31/22:

1. Left ventricle: The cavity size is normal. Wall thickness is moderately increased 1.5/1.4 cm. Systolic function is mildly reduced. The estimated ejection fraction is 45-50%. There is mild diffuse hypokinesis. Grade II diastolic dysfunction.
2. Right ventricle: The cavity size is mildly increased. Systolic function is mild-to-moderately reduced. TAPSE measures 1.4 cm. Estimated peak RV systolic pressure is calculated 25 mm Hg.
3. Left atrium: The atrium is mildly to moderately dilated.
4. Right atrium: The atrium is mildly to moderately dilated.
5. Tricuspid valve: There is mild-moderate regurgitation.
6. Pulmonic valve: There is mild to moderate regurgitation.
7. Mitral valve: There is mild regurgitation.
8. Aorta: The descending thoracic aorta appears mildly dilated (measuring 3.3 x 3.3 cm). Carotid Ultrasound, 3/31/22: 1.
   There was no evidence of hemodynamically significant stenosis on either of the left or right internal carotid arteries. 2. Vertebral flow was antegrade bilaterally. Past Medical History: Altered mental status Acute respiratory failure Chronic atrial fibrillation Hyperkalemia