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Chapter 14. Atrial Fibrillation MTM Data Set

Risk factors for atrial fibrillation include all of the following EXCEPT:

a. Increased age

b. Diabetes

c. Genetics

d. Low body mass index

Answer d.

A 65-year-old female was just diagnosed with atrial fibrillation. She has no symptoms, and states that she’s “never been sick a day in my life.” Her past medical history is significant for seasonal allergies, for which she uses loratadine as needed. She takes no other medications, and has no drug allergies. Which of the following is the BEST choice for initial management of her atrial fibrillation?

a. Amlodipine 5 mg once daily

b. Amiodarone 400 mg three times daily

c. Metoprolol 12.5 mg twice daily

d. Sotalol 80 mg twice daily

Answer c.

When counseling a patient about treatment goals in the management of atrial fibrillation, a reasonable target heart rate would be:

a. 100-115 beats per minute (bpm) at rest or during exercise.

b. a 30% decrease from baseline.

c. 75 bpm during exercise.

d. <80 bpm at rest.

Answer d.

Which of the following is the most appropriate definition of atrial fibrillation using living room language?

a. An irregular and often rapid heart rate that commonly causes poor blood flow to the body.

b. An arrhythmia that may be the result of long-standing hypertension, heart failure, or other cardiac issues.

c. A condition that will give you a stroke.

d. A rapid heart rate originating in the atria resulting in a lack of sufficient blood circulation within the periphery.

Answer a.

A 75-year-old male with a history of heart failure with reduced ejection fraction and atrial fibrillation has a resting heart rate of 61 bpm. He was admitted to the hospital 4 weeks ago for acute heart failure. Today, in clinic, his provider determines that he still has symptoms related to atrial fibrillation. Which of the following would be the BEST medication to add?

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