Reboot #159 Atrial Fibrillation
Aug 09, 2021, 07:00 AM
Enjoy this Curbsiders classic and stay tuned this Wednesday, August 11, 2021 for a brand new Afib Triple Distilled version.
Take control of atrial fibrillation with expert insights and pearls from cardiologist, Dr. James Furgerson, in this jam-packed episode! You’ll learn why atrial fibrillation is such a big deal, how to diagnose it, how to treat it and when to call in for reinforcements. Dr. James Furgerson, MD is a cardiologist from San Antonio, Texas with over 20 years in academics. Buckle up – This episode is going to send your heart racing! You might even skip a beat!
Take control of atrial fibrillation with expert insights and pearls from cardiologist, Dr. James Furgerson, in this jam-packed episode! You’ll learn why atrial fibrillation is such a big deal, how to diagnose it, how to treat it and when to call in for reinforcements. Dr. James Furgerson, MD is a cardiologist from San Antonio, Texas with over 20 years in academics. Buckle up – This episode is going to send your heart racing! You might even skip a beat!
Credits
- Writer and Producer: Cyrus Askin MD
- Infographic: Cyrus Askin MD
- Cover Art: Cyrus Askin MD
- Hosts: Matthew Watto MD, Paul Williams MD, Cyrus Askin MD
- Editors: Matthew Watto MD
- Guest: James Furgerson MD
Sponsor: American College of Physicians acponline.org/100curb
ACP CME 100 virtual video package includes 100 hours of practice-changing updates by expert faculty from Internal Medicine Meeting 2021 acponline.org/100CURB. Plus enjoy an exclusive: 25 bonus CME sessions and access until June 1, 2024!
Time Stamps*
*Note: Time stamps refer to ad-free version
*Note: Time stamps refer to ad-free version
- 00:00 Intro, disclaimer and guest bio
- 03:45 Guest one liner, a bit on physician well-being and some other randomness
- 08:15 A case of palpitations; risk factors for atrial fibrillation
- 12:17 Subclinical atrial fibrillation, overdiagnosis of atrial fibrillation; How much afib burden matters?
- 15:08 Case summary and next steps in initial work up
- 18:48 Counseling patient about atrial fibrillation and its consequences
- 21:40 Ischemic heart disease and atrial fibrillation
- 24:17 Recap of diagnosis, initial work up and risk stratification in atrial fibrillation
- 25:25 Rate versus rhythm control; AFFIRM trial
- 30:50 Strict versus lenient rate control; RACE trial
- 33:30 Deciding on rate versus rhythm control; Downside of antiarrhythmic therapies; When to switch from rate to rhythm control strategy
- 36:52 Ablation for atrial fibrillation; CASTLE-AF, CABANA trials
- 40:40 When to refer to cardiology and electrophysiology
- 42:42 Choice of agent for anticoagulation and latest guidelines for atrial fibrillation; New definition for valvular atrial fibrillation
- 45:22 DOACs in CKD and some other nuances in choice of agent
- 52:27 Bleeding and anticoagulation
- 58:38 Cardioversion for atrial fibrillation (initial versus delayed)
- 63:32 Anticoagulation before and after cardioversion
- 67:48 Lifestyles measures for atrial fibrillation
- 70:45 Atrial fibrillation during critical illness, after CABG and in hyperthyroidism
- 74:12 Aspirin monotherapy is not appropriate for atrial fibrillation
- 76:42 Take home points
- 78:50 Outro