How to facilitate control of your atrial fibrillation

Save this PDF as:
 WORD  PNG  TXT  JPG

Size: px
Start display at page:

Download "How to facilitate control of your atrial fibrillation"

Transcription

1 P a g e 1 How to facilitate control of your atrial fibrillation Document prepared by Thao Huynh, MD, MSC & Jaleh Hassanloo, MD With the collaboration of Isabelle Couture, B.Pharm, M.Sc Ariane Lessard, B.Pharm, M.Sc Lucie Roger et Caroline Boudreault, RN I. Introduction Atrial fibrillation (AF) is the most common disorder of heart rhythm. In atrial fibrillation, the electrical signals in the atria (upper chambers of the heart) become chaotic and cause the heart to pump irregularly. Because the atria contractions are no longer coordinated, the blood may stagnate in the atria and may form clot(s) which can dislodge and go to the brain creating a stroke. The number of patients with AF is steadily increasing, likely due to the increasing age of the population. Symptoms Many patients are asymptomatic. In others, the rapid and irregular heartbeats can prevent the heart from pumping enough blood to supply important body organs. These patients can experience one or more of these symptoms: Dizziness Sweating

2 P a g e 2 Fainting (syncope) Chest pain Irregular and rapid heartbeat Shortness of breath Anxiety Palpitations Reduced capacity to exercise Conditions that increase your risk of AF Age: AF risk increases with age (<1% of AF in persons age less than 60 years to approximately 10% in persons older than 80 years). High blood pressure Coronary atherosclerosis (deposit of cholesterol in the arteries of the heart), heart failure, heart valve disease, inflamed heart muscle or valves (endocarditis), recent heart operation or congenital heart defects. Smoking, consumption of alcohol, caffeine and stimulant drugs Endocrine disorders Hyperthyroidism (too much thyroid hormone) and diabetes Lung disease such as chronic lung disease, blood clots in the lung, emphysema or asthma Obesity

3 P a g e 3 II. Diagnostic Tests You may need to undergo the following tests: Electrocardiogram (EKG) (test with electrodes on the skin to evaluate the electricity of the heart) to confirm the AF diagnosis. Echocardiogram (ultrasound of the heart) to evaluate the function of the heart, presence or absence of blood clot. An X-Ray of the chest may also be necessary to exclude lung disease which may induce or aggravate AF or presence of water accumulation in the lung secondary to AF. Blood testing to ensure that you do not have other medical diseases such as problem of the thyroid (gland in the neck), anemia (decreased blood count) or electrolyte abnormalities. Your doctor may also request exercise stress testing to determine whether you have associated blockage of the arteries of the heart.

4 P a g e 4 III. Complications of AF AF is not a life-threatening condition by itself. AF patients younger than 60 years old and without other heart disease generally have good prognosis. However, AF can lead to other serious medical problems, including stroke, other heart rhythm problems, heart failure, fatigue and shortness of breath. Factors associated with increased stroke risk in AF patients Factors Stroke risks Prior stroke or cerebro-vascular disease 2.5 Cigarette smoking 1.8 Family history of stroke/transient ischemic attack 2.4 History of hypertension 1.6 Heart failure 1.4 Age more than 65 years old 1.4 Diabetes 1.7 Coronary artery disease 1.5 For example, a person who smokes is 1.8 times more likely to have a stroke than a similar AF patient who does not smoke.

5 P a g e 5 IV. Medical Therapy Anticoagulants Also commonly called blood-thinning medications. These drugs prevent the formation of blood clots. There are three types of anticoagulants: o Heparin (can be administered intravenously or subcutaneously) o Coumadin (warfarin, oral administration) o New types of oral anticoagulants such as Pradax (dabigatran). Who should take an anticoagulant? Anyone who is at risk of blood clot formation in the heart (as determined by a physician). For these patients, aspirin or another antiplatelet agent is not sufficient to reduce the risk of stroke. What is an anticoagulant? The difference between Coumadin and Pradax Coumadin (Sintrom ) reduces the amount of clotting factors produced by the liver by partially blocking the use of vitamin K. Treatment with Coumadin requires regular blood testing (INR). The value of INR reflect the thinning of the blood, ie. the more elevated INR, the more your blood is thinned, and the more increased risk of bleeding. In general, the target INR is between 2-3 (except in patients with metallic valves when the target INR is between ). These blood tests are more frequent at the beginning of the treatment and are necessary to adjust the dose of Coumadin.

6 P a g e 6 Pradax blocks the activity of a specific coagulation factor. This medication does not require any blood test. However, it cannot be used in patients with severe kidney disease and its action may be more difficult to reverse. Your physician will select the type of anticoagulant that is most suitable to you, depending on your medical history. How to take an anticoagulant? PRECAUTIONS FOR PATIENTS TAKING ORAL ANTICOAGULANTS (COUMADIN & PRADAX ) Take precautions in your daily activities: use an electric shaver instead of a blade razor, use a soft bristle toothbrush, do not walk barefoot, be careful with scissors and knives, in the kitchen and in the garden (wear garden gloves). Be careful with sports activities, wear a helmet when cycling, and avoid falls and injuries. Avoid contact sports. Pay attention to any bleeding sign such as bruising or black stools (which could indicate digestive bleeding). If you develop weakness or headaches after a fall, contact your physician or go to the emergency room. Always ask your pharmacist s opinion before taking any over the counter or natural products. Avoid excessive alcohol consumption ( 15 drinks per week for men, 12 drinks per week for women). Wear a medic-alert bracelet with the name of your anticoagulant Notify all your health care professionals that you are anticoagulated and the name of your anticoagulant.

7 P a g e 7 For patients on Coumadin Coumadin must be taken once a day, with or without food, preferably the same time, at dinner or at bedtime. What should you do if you forget your dose of Coumadin? If you notice it, the same day, take your dose immediately. If you miss one day, do not double the dose. Inform your doctor of your dose omission at the next INR visit. It is important to have your INR tested regularly, so that your Coumadin can be appropriately adjusted. Each dose of Coumadin has a different color. Take your Coumadin dose as prescribed by your doctor. If you need to split one tablet in half, get a pill cutter (sold in drugstores). Cranberries, cranberry juice or cranberry supplements and green tea can affect how warfarin works; they must be consumed in moderation. To avoid variation in your daily consumption of foods rich in content of vitamin K (such as green vegetables, canola and olive oils). Certain natural products such as ginseng, St. John s wort, ginger, garlic and ginkgo biloba may affect the metabolism of Coumadin. Always ask your pharmacist s opinion before taking any over the counter or natural products. For patients taking Pradax Pradax should be taken twice a day, ideally at the same time everyday (e.g. at breakfast and at dinner), with or without food. If you develop stomach burning, you should take Pradax with foods. Unlike Coumadin, Pradax does not require regular blood monitoring. Pradax should be kept in its original package.

8 P a g e 8 You forgot to take a dose of Pradax? Take your dose as soon as you remember. However, if it is less than 6 hours before your next dose, take your next dose as planned. Do not double the dose to compensate for the missed dose. You should not take these medications with Pradax (ketoconazole, rifampin). Antacids, verapamil and quinidine may interfere with the action of Pradax. Pradax should be taken 2 hours before antacids, verapamil and quinidine. Be careful with concommittant use of clarithromycin and pantoprazole (possible interaction). Antiplatelet medications ASA or thienopyridines (Plavix ) can be used to reduce the risk of stroke in patients at low risk of stroke or at increased risk of bleeding with oral anticoagulants. Antiarrhythmic agents These medications regulate heart rhythm. Here are some examples of these medications: amiodarone, sotalol, Rythmol (propafenone), Tambocor, Rythmodan (disopyramide), Pronestyl (procainamide), Biquin (quinidine), Multaq (Dronedarone). Heart rate control medications Beta-blockers, calcium channel blockers and digoxin slowdown heart rate.

9 P a g e 9 VI. Non-Pharmacological Interventions Interventions to restore the regularity of the heart rhythm include o Electrical cardioversion (uses of electrical shock to restore regular heart rythm). o Chemical cardioversion (use of medications to restore heart regular heart rythm) o Radiofrequency ablation (uses radiofrequency energy similar to microwave heat) to destroy selected small areas of heart muscle that trigger the abnormal rhythm. o Open-heart surgery to break the electrical pathways that cause and maintain AF. o Atrial pacemakers implanted under the skin to regulate atrial rhythm. The type of intervention required depends on the severity and frequency of your AF symptoms and associated heart disease. You may consult your doctor for more information. VII. Lifestyle Modifications What can you do to prevent AF or reduce symptom severity and risk of stroke? You can Stop smoking Eat a Mediterranean diet (favor fruit, vegetables, fish and pou ltry ) Weight loss Low salt and high fiber food Moderate alcohol consumption (less than 2 glasses daily for men, less than 1 ½ glass daily for women)

10 Regular physical activity (3-5 times weekly) P a g e 10

A Patient s Guide to Antithrombotic Therapy in Atrial Fibrillation

A Patient s Guide to Antithrombotic Therapy in Atrial Fibrillation Patient s Guide to Antithrombotic Therapy in Atrial Fibrillation A Patient s Guide to Antithrombotic Therapy in Atrial Fibrillation PATIENT EDUCATION GUIDE What is atrial fibrillation? Atrial fibrillation

More information

INFORMATION FOR PATIENTS AND FAMILIES A Patient s Guide to Living with Atrial Fibrillation

INFORMATION FOR PATIENTS AND FAMILIES A Patient s Guide to Living with Atrial Fibrillation INFORMATION FOR PATIENTS AND FAMILIES A Patient s Guide to Living with Atrial Fibrillation 30 Bond Street, Toronto, ON M5B 1W8 Canada 416.864.6060 stmichaelshospital.com Form No. XXXXX Dev. XX/XXXX GOALS

More information

What to Know About. Atrial Fibrillation

What to Know About. Atrial Fibrillation Atrial Fibrillation What to Know About Atrial Fibrillation Understanding Afib Atrial fibrillation, or Afib, is a condition in which the heart beats irregularly speeding up or slowing down, or beating too

More information

Cardioversion for. Atrial Fibrillation. Your Heart s Electrical System Cardioversion Living with Atrial Fibrillation

Cardioversion for. Atrial Fibrillation. Your Heart s Electrical System Cardioversion Living with Atrial Fibrillation Cardioversion for Atrial Fibrillation Your Heart s Electrical System Cardioversion Living with Atrial Fibrillation When You Have Atrial Fibrillation You ve been told you have a heart condition called atrial

More information

Atrial Fibrillation. Information for you, and your family, whänau and friends. Published by the New Zealand Guidelines Group

Atrial Fibrillation. Information for you, and your family, whänau and friends. Published by the New Zealand Guidelines Group Atrial Fibrillation Information for you, and your family, whänau and friends Published by the New Zealand Guidelines Group CONTENTS Introduction 1 The heart 2 What is atrial fibrillation? 3 How common

More information

Atrial Fibrillation Centre

Atrial Fibrillation Centre About this guide We have prepared this guide to help you to: learn about atrial fibrillation manage atrial fibrillation and reduce the risk of stroke find out about medicines and other treatment options

More information

Atrial Fibrillation. Patient Information. 828361 Dec 19-12

Atrial Fibrillation. Patient Information. 828361 Dec 19-12 Atrial Fibrillation Patient Information 828361 Dec 19-12 Contents Introduction 1 Treatment & decrease stroke options 2 Information for people who are taking warfarin (Coumadin ) 5 Information for people

More information

Visited 9/14/2011. What is Atrial Fibrillation? What you need to know about Atrial Fibrillation. The Normal Heart Rhythm. 1 of 7 9/14/2011 10:50 AM

Visited 9/14/2011. What is Atrial Fibrillation? What you need to know about Atrial Fibrillation. The Normal Heart Rhythm. 1 of 7 9/14/2011 10:50 AM 1 of 7 9/14/2011 10:50 AM Current URL: What you need to know about Atrial Fibrillation What is atrial fibrillation? What causes atrial fibrillation? How is atrial fibrillation diagnosed? What are the dangers

More information

Introduction to Atrial Fibrillation (AFib)

Introduction to Atrial Fibrillation (AFib) Introduction to Atrial Fibrillation (AFib) Learn About: 1. What is atrial fibrillation? 2. How will I feel? 3. Who gets AFib? 4. Risk of stroke 5. AFib treatment 6. How to live well with AFib 1. What is

More information

Living with. Atrial Fibrillation

Living with. Atrial Fibrillation Living with Atrial Fibrillation U nderstanding Atrial Fibrillation An estimated 2.7 million Americans are living with atrial fibrillation (AF). That makes it the most common heart rhythm abnormality in

More information

What Are Arrhythmias?

What Are Arrhythmias? What Are Arrhythmias? Many people have questions about what the word arrhythmia means, and arrhythmias can be a difficult subject to understand. The text below should give you a better understanding of

More information

Warfarin therapy for stroke patients with atrial fibrillation

Warfarin therapy for stroke patients with atrial fibrillation Warfarin therapy for stroke patients with atrial fibrillation Delivering the best in care UHB is a no smoking Trust To see all of our current patient information leaflets please visit www.uhb.nhs.uk/patient-information-leaflets.htm

More information

Atrial Fibrillation and Anticoagulants

Atrial Fibrillation and Anticoagulants York Teaching Hospital NHS Foundation Trust Atrial Fibrillation and Anticoagulants A guide to your diagnosis and treatment Information for patients, relatives and carers For more information, please contact:

More information

Let s talk about: Stroke

Let s talk about: Stroke Let s talk about: Stroke February 20 th 2013 Laura Wilson Christine Stables Questions 1. Why is knowing about stroke important? 2. What exactly is a stroke and what are the symptoms? 3. What should I do

More information

Atrial fibrillation (AF) patient information

Atrial fibrillation (AF) patient information AF A Atrial fibrillation (AF) patient information Providing information, support and access to established, new or innovative treatments for Atrial Fibrillation www.atrialfibrillation-au.org Glossary Antiarrhythmic

More information

Treatments to Restore Normal Rhythm

Treatments to Restore Normal Rhythm Treatments to Restore Normal Rhythm In many instances when AF causes significant symptoms or is negatively impacting a patient's health, the major goal of treatment is to restore normal rhythm and prevent

More information

FAQs about Warfarin (brand name Coumadin )

FAQs about Warfarin (brand name Coumadin ) FAQs about Warfarin (brand name Coumadin ) What is warfarin? Warfarin is the most commonly used anticoagulant in the US. An anticoagulant is a drug used to prevent unwanted and harmful blood clots. Although

More information

GENERAL HEART DISEASE KNOW THE FACTS

GENERAL HEART DISEASE KNOW THE FACTS GENERAL HEART DISEASE KNOW THE FACTS WHAT IS Heart disease is a broad term meaning any disease affecting the heart. It is commonly used to refer to coronary heart disease (CHD), a more specific term to

More information

Atrial Fibrillation (AF) March, 2013

Atrial Fibrillation (AF) March, 2013 Atrial Fibrillation (AF) March, 2013 This handout is meant to help with discussions about the condition, and it is not a complete discussion of AF. We hope it will complement your appointment with one

More information

Radiofrequency Ablation for Atrial Fibrillation. A Guide for Adults

Radiofrequency Ablation for Atrial Fibrillation. A Guide for Adults Radiofrequency Ablation for Atrial Fibrillation A Guide for Adults Fast Facts n There are different ways to treat atrial fibrillation (A-fib). One kind of treatment involves putting the heart back into

More information

ATRIAL FIBRILLATION. What is Atrial Fibrillation?

ATRIAL FIBRILLATION. What is Atrial Fibrillation? What is Atrial Fibrillation? Atrial fibrillation (also called AFib or AF) is a quivering or irregular heartbeat (arrhythmia) that can lead to blood clots, stroke, heart failure and other heart-related

More information

Atrial Fibrillation: The heart of the matter

Atrial Fibrillation: The heart of the matter Atrial Fibrillation: The heart of the matter This booklet has been written especially for people with atrial fibrillation (AF), a heart condition often described as an irregular heartbeat (also known

More information

Atrial Fibrillation (AF) Explained

Atrial Fibrillation (AF) Explained James Paget University Hospitals NHS Foundation Trust Atrial Fibrillation (AF) Explained Patient Information Contents What are the symptoms of atrial fibrillation (AF)? 3 Normal heartbeat 4 How common

More information

Atrial fibrillation. Understanding abnormal heart rhythm

Atrial fibrillation. Understanding abnormal heart rhythm Atrial fibrillation Understanding abnormal heart rhythm What is atrial fibrillation (AF)? AF is a common and important disturbance of the electrical system of the heart. It is one of a number of disorders

More information

What Can I Do about Atrial Fibrillation (AF)?

What Can I Do about Atrial Fibrillation (AF)? Additional Device Information 9529 Reveal XT Insertable Cardiac Monitor The Reveal XT Insertable Cardiac Monitor is an implantable patientactivated and automatically activated monitoring system that records

More information

A CAREGIVER s Guide to. Complicated Atrial Fibrillation

A CAREGIVER s Guide to. Complicated Atrial Fibrillation A CAREGIVER s Guide to Complicated Atrial Fibrillation Introduction Atrial fibrillation (also known as AFib or AF) is a common heart condition, particularly among older people. It s estimated that AF affects

More information

Treatment Options for Atrial Fibrillation Patient Information

Treatment Options for Atrial Fibrillation Patient Information Patient Information Treatment Options for Atrial Fibrillation Page 1 of 8 Treatment Options for Atrial Fibrillation Patient Information Emory University Hospital Midtown Cardiac Electrophysiology Service

More information

Warfarin. (Coumadin, Jantoven ) Taking your medication safely

Warfarin. (Coumadin, Jantoven ) Taking your medication safely Warfarin (Coumadin, Jantoven ) Taking your medication safely Welcome This booklet is designed to provide you with important information about warfarin to help you take this medication safely and effectively.

More information

AFib (short for atrial fibrillation) is the most common type of irregular heartbeat, affecting literally millions of men and women

AFib (short for atrial fibrillation) is the most common type of irregular heartbeat, affecting literally millions of men and women What is atrial fibrillation? AFib (short for atrial fibrillation) is the most common type of irregular heartbeat, affecting literally millions of men and women What is atrial fibrillation? AFib occurs

More information

www.irishheart.ie ATRIAL FIBRILLATION AND YOU An information booklet for people living with Atrial Fibrillation (a type of irregular heart beat).

www.irishheart.ie ATRIAL FIBRILLATION AND YOU An information booklet for people living with Atrial Fibrillation (a type of irregular heart beat). www.irishheart.ie ATRIAL FIBRILLATION AND YOU An information booklet for people living with Atrial Fibrillation (a type of irregular heart beat). Contents Introduction 5 Produced by the Irish Heart Foundation

More information

written by Harvard Medical School Atrial Fibrillation Coping With a Chaotic Heartbeat www.patientedu.org

written by Harvard Medical School Atrial Fibrillation Coping With a Chaotic Heartbeat www.patientedu.org written by Harvard Medical School Atrial Fibrillation Coping With a Chaotic Heartbeat www.patientedu.org What Is Atrial Fibrillation? Atrial fibrillation is a fast and irregular heartbeat. It occurs in

More information

HEART SERIES H9 UNDERSTANDING ATRIAL FIBRILLATION

HEART SERIES H9 UNDERSTANDING ATRIAL FIBRILLATION HEART SERIES H9 UNDERSTANDING ATRIAL FIBRILLATION Chest Heart & Stroke Scotland improves the quality of life for people in Scotland affected by chest, heart and stroke illness, through medical research,

More information

Supraventricular Tachycardia (SVT) and Ablation

Supraventricular Tachycardia (SVT) and Ablation UW MEDICINE PATIENT EDUCATION Supraventricular Tachycardia (SVT) and Ablation Treating your abnormal heart rhythm This handout describes a type of abnormal heart rhythm called supraventricular tachycardia.

More information

The Prevent Defense Against Stroke: Preventing a Second Stroke or Transient Ischemic Attack

The Prevent Defense Against Stroke: Preventing a Second Stroke or Transient Ischemic Attack P A T I E N T V E R S I O N The Prevent Defense Against Stroke: Preventing a Second Stroke or Transient Ischemic Attack Sponsored by Support for this activity has been provided through an educational grant

More information

Living with. A Guide for Patients and Families 40 RUSKIN STREET, OTTAWA ON K1Y 4W7 T 613.761.5000 WWW.OTTAWAHEART.CA UOHI 77

Living with. A Guide for Patients and Families 40 RUSKIN STREET, OTTAWA ON K1Y 4W7 T 613.761.5000 WWW.OTTAWAHEART.CA UOHI 77 Living with Atrial Fibrillation A Guide for Patients and Families UOHI 77 40 RUSKIN STREET, OTTAWA ON K1Y 4W7 T 613.761.5000 WWW.OTTAWAHEART.CA PLEASE BRING THIS BOOK WITH YOU TO THE HEART INSTITUTE Patient

More information

Atrial fibrillation (non-valvular) and reducing the risk of a stroke Management Options Brief Decision Aid

Atrial fibrillation (non-valvular) and reducing the risk of a stroke Management Options Brief Decision Aid Atrial fibrillation (non-valvular) and reducing the risk of a stroke Management Options Brief Decision Aid Atrial fibrillation (AF) increases your risk of having a stroke (a blood clot in the brain). From

More information

(Atrial Fibrillation) What You and Your Family Should Know

(Atrial Fibrillation) What You and Your Family Should Know Afib (Atrial Fibrillation) What You and Your Family Should Know BRING THIS BOOKLET TO YOUR NEXT DOCTOR S VISIT. Getting Started This guide will: 1. Provide you with information to help you and your family

More information

GUIDE TO ATRIAL FIBRILLATION

GUIDE TO ATRIAL FIBRILLATION PATIENT INFORMATION GUIDE TO ATRIAL FIBRILLATION Atrial Fibrillation (AF) Atrial Flutter (AFL) Rate and Rhythm Control Stroke Prevention This document is endorsed by: A Comprehensive Resource from the

More information

PATIENT INFORMATION GUIDE TO ATRIAL FIBRILLATION

PATIENT INFORMATION GUIDE TO ATRIAL FIBRILLATION PATIENT INFORMATION GUIDE TO ATRIAL FIBRILLATION A Comprehensive Resource from the Heart Rhythm Society AF 360 provides a single, trusted resource for the most comprehensive and relevant information and

More information

Heart Attack: What You Need to Know

Heart Attack: What You Need to Know A WorkLife4You Guide Heart Attack: What You Need to Know What is a Heart Attack? The heart works 24 hours a day, pumping oxygen and nutrient-rich blood to the body. Blood is supplied to the heart through

More information

ATRIAL FIBRILLATION ABLATION

ATRIAL FIBRILLATION ABLATION ATRIAL FIBRILLATION ABLATION WHAT IS ATRIAL FIBRILLATION? Atrial fibrillation (AF) is a rapid and irregular rhythm disturbance of the upper chambers of the (atria) heart overriding the normal heart pacemaker.

More information

What You Need to KnowWhen Taking Anticoagulation Medicine

What You Need to KnowWhen Taking Anticoagulation Medicine What You Need to KnowWhen Taking Anticoagulation Medicine What are anticoagulant medicines? Anticoagulant medicines are a group of medicines that inhibit blood clotting, helping to prevent blood clots.

More information

F A S T. Atrial fibrillation (AF) and stroke

F A S T. Atrial fibrillation (AF) and stroke Stroke Helpline: 0303 3033 100 Website: stroke.org.uk Atrial fibrillation (AF) and stroke Atrial fibrillation is a type of irregular heartbeat. It means that your heart may not be pumping as well as it

More information

Your information prescription

Your information prescription Prepared on 12 May 2015 Serial number: MRP158FU View this prescription online http://www.nhs.uk/ipg/pages/ippreviewcover.aspx?ref=mrp158fu More health information at http://www.nhs.uk Your information

More information

High Blood Pressure (Essential Hypertension)

High Blood Pressure (Essential Hypertension) Sacramento Heart & Vascular Medical Associates February 18, 2012 500 University Ave. Sacramento, CA 95825 Page 1 916-830-2000 Fax: 916-830-2001 What is essential hypertension? Blood pressure is the force

More information

ATRIAL FIBRILLATION. What you need to know

ATRIAL FIBRILLATION. What you need to know ATRIAL FIBRILLATION What you need to know Table of contents Atrial fibrillation overview... 1 What is a-fib?.... 2 Risk factors for a-fib... 3 Symptoms of a-fib.... 4 Complications from a-fib... 4 How

More information

Treatments for stroke prevention in Atrial Fibrillation as recommended by the Canadian Cardiovascular Society

Treatments for stroke prevention in Atrial Fibrillation as recommended by the Canadian Cardiovascular Society Treatments for stroke prevention in Atrial Fibrillation as recommended by the Canadian Cardiovascular Society Coumadin (Warfarin) Does this medication need ongoing monitoring of blood clotting times? Yes.

More information

Atrial Fibrillation Management Across the Spectrum of Illness

Atrial Fibrillation Management Across the Spectrum of Illness Disclosures Atrial Fibrillation Management Across the Spectrum of Illness NONE Barbara Birriel, MSN, ACNP-BC, FCCM The Pennsylvania State University Objectives AF Discuss the pathophysiology, diagnosis,

More information

MEDICATION GUIDE COUMADIN (COU-ma-din) (warfarin sodium)

MEDICATION GUIDE COUMADIN (COU-ma-din) (warfarin sodium) MEDICATION GUIDE COUMADIN (COU-ma-din) (warfarin sodium) Read this Medication Guide before you start taking COUMADIN (warfarin sodium) and each time you get a refill. There may be new information. This

More information

PATIENT PRE- TEST INSTRUCTIONS:

PATIENT PRE- TEST INSTRUCTIONS: PATIENT PRE- TEST INSTRUCTIONS: Stress Test: Treadmill Stress Test 1. Patient should not take Beta- blockers for 24 hours prior to testing. Patients with chronic Atrial Fibrillation are to continue taking

More information

Guide to Dabigatran, Rivaroxaban and Apixaban

Guide to Dabigatran, Rivaroxaban and Apixaban Page 1 of 8 Guide to Dabigatran, Rivaroxaban and Apixaban Medicines to Prevent Blood Clots If you are deaf or hard of hearing, please let us know. We provide many free services including sign language

More information

Atrial fibrillation. Treatment Guide

Atrial fibrillation. Treatment Guide Treatment Guide Atrial fibrillation Atrial fibrillation (AF or AFib) is the most common irregular or abnormal heart rhythm disorder, affecting more than 3 million Americans today. Thankfully, more options

More information

RIVAROXABAN. Consumer Information

RIVAROXABAN. Consumer Information RIVAROXABAN Consumer Information Rivaroxaban is a medicine that is used to increase the time it takes for blood to clot. It belongs to a class of medicines called anticoagulants, which are sometimes also

More information

F A S T. Atrial fibrillation (AF) and stroke

F A S T. Atrial fibrillation (AF) and stroke Stroke Helpline: 0303 3033 100 Website: stroke.org.uk Atrial fibrillation (AF) and stroke Atrial fibrillation is a type of irregular heartbeat. It means that your heart may not be pumping as well as it

More information

CONGESTIVE HEART FAILURE PATIENT TEACHING

CONGESTIVE HEART FAILURE PATIENT TEACHING CONGESTIVE HEART FAILURE PATIENT TEACHING What is Heart Failure? Congestive Heart Failure occurs when the heart loses its ability to pump enough blood to meet the body s needs. Because the heart is not

More information

Low Blood Pressure. This reference summary explains low blood pressure and how it can be prevented and controlled.

Low Blood Pressure. This reference summary explains low blood pressure and how it can be prevented and controlled. Low Blood Pressure Introduction Low blood pressure, or hypotension, is when your blood pressure reading is 90/60 or lower. Some people have low blood pressure all of the time. In other people, blood pressure

More information

ACUTE STROKE UNIT ORIENTATION

ACUTE STROKE UNIT ORIENTATION ACUTE STROKE UNIT ORIENTATION 2014 TEACHING YOUR STROKE PATIENTS ABOUT THEIR MEDICATION Please refer to Module 8: Secondary Stroke Prevention for additional information Blood Pressure Medication Angiotensin

More information

Through Thick and Thin

Through Thick and Thin Through Thick and Thin Learning to Live with Warfarin South Denver Cardiology Associates PC What is Anticoagulation? Anti = against Coagulation = blood clotting An anticoagulant is a medication that reduces

More information

The Treatment of Atrial Fibrillation University of Michigan Electrophysiology Service

The Treatment of Atrial Fibrillation University of Michigan Electrophysiology Service The Treatment of Atrial Fibrillation University of Michigan Fred Morady, MD; Hakan Oral, MD; Aman Chugh, MD; Frank Pelosi, MD; Frank Bogun, MD; Eric Good, DO; Krit Jongnarangsin, MD; Thomas Crawford, MD;

More information

Daily aspirin therapy: Understand the benefits and risks

Daily aspirin therapy: Understand the benefits and risks Daily aspirin therapy: Understand the benefits and risks Is an aspirin a day the right thing for you? It's not as easy a decision as it sounds. Know the benefits and risks before considering daily aspirin

More information

Healthy Blood Pressure Healthy Heart Beat. Initiated by the World Hypertension League

Healthy Blood Pressure Healthy Heart Beat. Initiated by the World Hypertension League Healthy Blood Pressure Healthy Heart Beat Initiated by the World Hypertension League MAY 17, 2013 What is Hypertension? Hypertension is most commonly known as High Blood Pressure. It is a chronic medical

More information

CATHETER ABLATION for ATRIAL FIBRILLATION

CATHETER ABLATION for ATRIAL FIBRILLATION CATHETER ABLATION for ATRIAL FIBRILLATION Atrial Fibrillation Clinic Dr. Richard Leather, Dr. Larry Sterns, Dr Paul Novak, Dr. Chris Lane Royal Jubilee Hospital Block 3 rd floor, Rm 343 1952 Bay Street

More information

Your Guide to Coumadin / Warfarin Therapy

Your Guide to Coumadin / Warfarin Therapy Your Guide to Coumadin / Warfarin Therapy 5 Things You MUST Know About Coumadin (Generic Name Warfarin) 1. You must have your blood checked regularly to prevent clots and bleeding. 2. Many medicines interact

More information

Planning: Patient Goals and Expected Outcomes The patient will: Remain free of unusual bleeding Maintain effective tissue perfusion Implementation

Planning: Patient Goals and Expected Outcomes The patient will: Remain free of unusual bleeding Maintain effective tissue perfusion Implementation Obtain complete heath history including allergies, drug history and possible drug Assess baseline coagulation studies and CBC Assess for history of bleeding disorders, GI bleeding, cerebral bleed, recent

More information

Atrial Fibrillation. The Beat Goes On. Living with AFib. Know Your Heart. Live Your Life. Know Your Choices.

Atrial Fibrillation. The Beat Goes On. Living with AFib. Know Your Heart. Live Your Life. Know Your Choices. Atrial Fibrillation The Beat Goes On Living with AFib Know Your Heart. Live Your Life. Know Your Choices. What is AFib? This booklet is for you if you have AFib, or if you are at risk for AFib. This booklet

More information

A Patient s Guide to Primary and Secondary Prevention of Cardiovascular Disease Using Blood-Thinning (Anticoagulant) Drugs

A Patient s Guide to Primary and Secondary Prevention of Cardiovascular Disease Using Blood-Thinning (Anticoagulant) Drugs A Patient s Guide to Primary and Secondary Prevention of PATIENT EDUCATION GUIDE What Is Cardiovascular Disease? Cardiovascular disease (CVD) is a broad term that covers any disease of the heart and circulatory

More information

DERBYSHIRE JOINT AREA PRESCRIBING COMMITTEE (JAPC) MANAGEMENT of Atrial Fibrillation (AF)

DERBYSHIRE JOINT AREA PRESCRIBING COMMITTEE (JAPC) MANAGEMENT of Atrial Fibrillation (AF) DERBYSHIRE JOINT AREA PRESCRIBING COMMITTEE (JAPC) MANAGEMENT of Atrial Fibrillation (AF) Key priorities Identification and diagnosis Treatment for persistent AF Treatment for permanent AF Antithrombotic

More information

Atrial Fibrillation and Atrial Flutter

Atrial Fibrillation and Atrial Flutter Page 1 of 40 Atrial Fibrillation and Atrial Flutter Page 2 of 40 Introduction Page 3 of 40 Atrial fibrillation is an irregular heart rhythm that starts in the heart s upper chambers (atria). When it occurs,

More information

Guide to Warfarin Therapy

Guide to Warfarin Therapy Page 1 of 8 Guide to Warfarin Therapy Treatment to Prevent Blood Clots If you are deaf or hard of hearing, please let us know. We provide many free services including sign language interpreters, oral interpreters,

More information

Atrial fibrillation: medicines to help reduce your risk of a stroke what are the options?

Atrial fibrillation: medicines to help reduce your risk of a stroke what are the options? Patient decision aid Atrial fibrillation: medicines to help reduce your risk of a stroke what are the options? http://guidance.nice.org.uk/cg180/patientdecisionaid/pdf/english Published: June 2014 About

More information

Guide to Warfarin Therapy

Guide to Warfarin Therapy Page 1 of 8 Guide to Warfarin Therapy Treatment to Prevent Blood Clots If you are deaf or hard of hearing, please let us know. We provide many free services including sign language interpreters, oral interpreters,

More information

REDUCE YOUR RISK OF STROKE

REDUCE YOUR RISK OF STROKE REDUCE YOUR RISK OF STROKE WHAT IS STROKE? A stroke is a brain attack. It can be fatal. A stroke happens when a blockage such as a clot blocks the blood flow to the brain, or when a burst blood vessel

More information

V1: Draft Nov 2014. Making decisions... about anticoagulation for stroke prevention in atrial fibrillation. www.weahsn.net

V1: Draft Nov 2014. Making decisions... about anticoagulation for stroke prevention in atrial fibrillation. www.weahsn.net V1: Draft Nov 2014 Making decisions... about anticoagulation for stroke prevention in atrial fibrillation www.weahsn.net is this pack for? pack and booklet is for people with AF. It is designed to help

More information

what is warfarin? Treatment with Warfarin (Coumadin ) What is warfarin?

what is warfarin? Treatment with Warfarin (Coumadin ) What is warfarin? What is warfarin? Warfarin sodium (Coumadin ) is a medication that works as an anti-coagulant. Anti means against and coagulant refers to blood clotting. An anticoagulant helps to prevent clots from forming

More information

A Patient s Guide to Atrial Fibrillation

A Patient s Guide to Atrial Fibrillation A Patient s Guide to Atrial Fibrillation Introduction Atrial fibrillation can cause fear and anxiety. After receiving timely diagnosis and treatment, our goal is to help you manage your condition so it

More information

Atrioventricular (AV) node ablation

Atrioventricular (AV) node ablation Patient information factsheet Atrioventricular (AV) node ablation The normal electrical system of the heart The heart has its own electrical conduction system. The conduction system sends signals throughout

More information

Treatment with Apixaban

Treatment with Apixaban UW MEDICINE PATIENT EDUCATION Treatment with Apixaban Eliquis This handout explains the medicine apixaban, a drug that helps prevent blood clots. What is apixaban? Apixaban (brand name Eliquis) is an anticoagulant

More information

ATRIAL FIBRILLATION IN THE 21 ST CENTURY TIMOTHY DOWLING, D.O. FAMILY PHYSICIAN

ATRIAL FIBRILLATION IN THE 21 ST CENTURY TIMOTHY DOWLING, D.O. FAMILY PHYSICIAN ATRIAL FIBRILLATION IN THE 21 ST CENTURY TIMOTHY DOWLING, D.O. FAMILY PHYSICIAN GOALS AND OBJECTIVES At The end of this talk you should understand: What is Atrial Fibrillation Causes of Atrial Fibrillation

More information

Atrial Fibrillation Ablation. This handout will help you learn about atrial fibrillation ablation, also called pulmonary vein isolation.

Atrial Fibrillation Ablation. This handout will help you learn about atrial fibrillation ablation, also called pulmonary vein isolation. This handout will help you learn about atrial fibrillation ablation, also called pulmonary vein isolation. 2 Atrial Fibrillation Ablation How does the heart work? To understand atrial fibrillation, you

More information

A Patient Guide to Atrial Fibrillation and Catheter Ablation

A Patient Guide to Atrial Fibrillation and Catheter Ablation A Patient Guide to Atrial Fibrillation and Catheter Ablation Al-Sabah Arrhythmia Institute 1111 Amsterdam Avenue New York, NY 10025 Phone: 212-523-2400 Fax: 212-523-2571 www.stlukescardiology.org Printed

More information

USF DEPARTMENT OF CARDIOLOGY NEW PATIENT INTAKE FORM

USF DEPARTMENT OF CARDIOLOGY NEW PATIENT INTAKE FORM Personal Data Name: Date: Date of Birth: Age: Occupation: Marital Status: Single Married Divorced Widowed Birth Place: Education Level: Reason for Cardiac Referral: Physician referring for Cardiac assessment:

More information

Tachyarrhythmias (fast heart rhythms)

Tachyarrhythmias (fast heart rhythms) Patient information factsheet Tachyarrhythmias (fast heart rhythms) The normal electrical system of the heart The heart has its own electrical conduction system. The conduction system sends signals throughout

More information

ORAL ANTICOAGULANTS - RIVAROXABAN (XARELTO) FOR ATRIAL FIBRILLATION

ORAL ANTICOAGULANTS - RIVAROXABAN (XARELTO) FOR ATRIAL FIBRILLATION ORAL ANTICOAGULANTS - RIVAROXABAN (XARELTO) FOR ATRIAL FIBRILLATION Information Leaflet Your Health. Our Priority. Page 2 of 6 What Are Anticoagulants And What Do They Do? This information leaflet has

More information

Presence and extent of fatty liver or other metabolic liver diseases

Presence and extent of fatty liver or other metabolic liver diseases UC San Diego Health System Patient Information Sheet: Liver Biopsy What is a Liver Biopsy? A liver biopsy is a procedure where a qualified doctor (typically a hepatologist, radiologist or gastroenterologist)

More information

Cardiac Rehabilitation

Cardiac Rehabilitation Cardiac Rehabilitation Introduction Experiencing heart disease should be the beginning of a new, healthier lifestyle. Cardiac rehabilitation helps you in two ways. First, it helps your heart recover through

More information

The science of medicine. The compassion to heal.

The science of medicine. The compassion to heal. A PATIENT S GUIDE TO ELECTROPHYSIOLOGY STUDIES OF THE HEART The science of medicine. The compassion to heal. This teaching booklet is designed to introduce you to electrophysiology studies of the heart.

More information

Treatment with Rivaroxaban

Treatment with Rivaroxaban UW MEDICINE PATIENT EDUCATION Treatment with Rivaroxaban Xarelto This handout explains the medicine rivaroxaban, a drug that helps prevent blood clots. What is rivaroxaban? Rivaroxaban (brand name Xarelto)

More information

Patient Information Leaflet about Pradaxa for Atrial Fibrillation. You Have Been Prescribed Pradaxa

Patient Information Leaflet about Pradaxa for Atrial Fibrillation. You Have Been Prescribed Pradaxa Patient Information Leaflet about Pradaxa for Atrial Fibrillation You Have Been Prescribed Pradaxa Your doctor has prescribed Pradaxa for you. The purpose of the medication is to minimise the risk that

More information

Atrial Fibrillation An update on diagnosis and management

Atrial Fibrillation An update on diagnosis and management Dr Arvind Vasudeva Consultant Cardiologist Atrial Fibrillation An update on diagnosis and management Atrial fibrillation (AF) remains the commonest disturbance of cardiac rhythm seen in clinical practice.

More information

Arrhythmia Facts. Each day the average heart beats (expands and contracts) 100,000 times and pumps about 2,000 gallons of blood.

Arrhythmia Facts. Each day the average heart beats (expands and contracts) 100,000 times and pumps about 2,000 gallons of blood. Arrhythmia Facts During a 24-hour period, about 20% of healthy adults are likely to have frequent or multiple types of premature ventricular heartbeats. Heart arrhythmias are very common and nearly everyone

More information

PATIENT INFORMATION BOOKLET FOR ATRIAL FIBRILLATION

PATIENT INFORMATION BOOKLET FOR ATRIAL FIBRILLATION PATIENT INFORMATION BOOKLET FOR ATRIAL FIBRILLATION Prepared by Karen Jones MBA and Nancy Marco NP for the Complex Arrhythmia Clinic Toronto General Hospital Peter Munk Cardiac Centre University Health

More information

Prevent Bleeding When Taking Blood Thinners

Prevent Bleeding When Taking Blood Thinners PATIENT EDUCATION patienteducation.osumc.edu Prevent Bleeding When Taking Blood Thinners Blood thinners are medicines used to keep harmful blood clots from forming in the body. Blood thinners can also

More information

GUIDE TO ATRIAL FIBRILLATION

GUIDE TO ATRIAL FIBRILLATION PATIENT INFORMATION GUIDE TO ATRIAL FIBRILLATION Atrial Fibrillation (AF) Rate and Rhythm Control Stroke Prevention A Comprehensive Resource from the Heart Rhythm Society SM This information is not intended

More information

5 MILLION AMERICANS 1. Atrial Fibrillation (AFib) AFib affects an estimated

5 MILLION AMERICANS 1. Atrial Fibrillation (AFib) AFib affects an estimated A Patient s Guide To with Atrial Fibrillation (AFib) CAUSES RISK FACTORS SYMPTOMS DIAGNOSIS TREATMENTS INSIDE The Healthy Heart... 2 Your Heart In AFib... 4 How Do You Get It?... 6 How Do You Know If You

More information

Listen to Your Heart. What Everyone Needs To Know About Atrial Fibrillation & Stroke. The S-ICD System. The protection you need

Listen to Your Heart. What Everyone Needs To Know About Atrial Fibrillation & Stroke. The S-ICD System. The protection you need Listen to Your Heart The S-ICD System What Everyone Needs To Know About Atrial Fibrillation & Stroke The protection you need without Stroke. touching Are you your at heart risk? Increase your knowledge.

More information

Atrial Fibrillation The Basics

Atrial Fibrillation The Basics Atrial Fibrillation The Basics Family Practice Symposium Tim McAveney, M.D. 10/23/09 Objectives Review the fundamentals of managing afib Discuss the risks for stroke and the indications for anticoagulation

More information

Atrial Fibrillation and Ablation Therapy: A Patient s Guide

Atrial Fibrillation and Ablation Therapy: A Patient s Guide Atrial Fibrillation and Ablation Therapy: A Patient s Guide ATRIAL FIBRILLATION CENTER AT UNIVERSITY OF ROCHESTER MEDICAL CENTER www.heart.urmc.edu 585-275-4775 INTRODUCTION Our goal at the Atrial Fibrillation

More information

Secondary Stroke Prevention Luke Bradbury, MD 10/4/14 Fall WAPA Conferfence

Secondary Stroke Prevention Luke Bradbury, MD 10/4/14 Fall WAPA Conferfence Guidelines Secondary Stroke Prevention Luke Bradbury, MD 10/4/14 Fall WAPA Conferfence Stroke/TIA Nearly 700,000 ischemic strokes and 240,000 TIAs every year in the United States Currently, the risk for

More information

DEEP VEIN THROMBOSIS. James St.George, M.D., RPVI, RVT, RPhS

DEEP VEIN THROMBOSIS. James St.George, M.D., RPVI, RVT, RPhS DEEP VEIN THROMBOSIS James St.George, M.D., RPVI, RVT, RPhS Originally Published In Florida Times Union March 2014 James St.George, M.D., RPVI, RVT, RPhS Dr. St. George is the Medical Director of St Johns

More information

Blood thinning (anticoagulation) in atrial fibrillation (AF)

Blood thinning (anticoagulation) in atrial fibrillation (AF) AF A Blood thinning (anticoagulation) in atrial fibrillation (AF) Providing information, support and access to established, new or innovative treatments for atrial fibrillation www.afa.org.uk Registered

More information