Essay on Diagnostic Tests For Atrial Fibrillation

1837 Words Apr 30th, 2016 null Page
Diagnostic Tests For Atrial Fibrillation The initial foundation of the diagnosis of AF depends on the thorough physical examination and an ECG interpretation. In the Nottingham (2010) report, he cited the American College of Cardiology/American Heart Association (ACC/AHA), the Heart Failure Society of America (HFSA), and the European Society of Cardiology (ESC) diagnostic criteria for initial diagnosis of atrial fibrillation. This includes; a thorough history and physical examination to evaluate the nature of symptoms, characteristics, response to pharmacological agents, and precipitating factors; electrocardiogram to identify the rhythm, ventricular hypertrophy, F wave morphology, myocardial infarction, bundle branch block, presence of arrhythmias, and to measure R-R, QRS, and QT intervals; chest radiograph to evaluate lung parenchyma and pulmonary vasculature; transthoraccic echocardiogram to assess heart size, presence of valvular disease, presence of pulmonary hypertension, left ventricular hypertrophy, left atrial thrombus and pericardial disease (Nottingham, 2010). The blood tests that include thyroid function tests, renal and hepatic function tests are also important diagnostic tools in the initial diagnosis of AF (Nottingham, 2010).
Management of Atrial Fibrillation In patients who are symptomatic, initial therapy goals should focus on rhythm control and anticoagulation with a long term goal of sinus rhythm or in other words, the management…

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