Emergency Medicine Journal 2008;25:860
© 2008 BMJ Publishing Group Ltd and the College of Emergency Medicine.
EMQ ANSWERS
For questions on page
792
| The first 150 words of the full text of this article appear below. |
ANSWER 1
- False. There is no evidence that a rhythm control strategy is generally superior to a rate control strategy.1 2 The National Institute for Health and Clinical Excellence recommends consideration of rhythm control in the following patient groups: the symptomatic; those aged <65 years; those with a first presentation of lone atrial fibrillation (AF; see definition in 1d); those with AF secondary to a treated precipitant; those with congestive cardiac failure.
- False. Most AF-related mortality is due to thromboembolic complications especially stroke.3 AF accounts for up to 25% of all strokes in the elderly.4
- False. All AF patients should be assessed for their risk of stroke. Only those with moderate to high risk are likely to benefit from anticoagulation.5 For example, patients under 65 years with no comorbidities would not normally benefit from anticoagulation.
- False. Lone AF means that no precipitant has been found (eg, ischaemic heart disease). Pill-in-the-pocket therapy is appropriate
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Emerg. Med. J. 2008 25: 792.[Extract] [Full Text] [PDF]
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