Podcast
Questions and Answers
What is the preferred treatment if the onset of arrhythmia is more than 48 hours or uncertain?
What is the preferred treatment if the onset of arrhythmia is more than 48 hours or uncertain?
- Intravenous beta-blocker
- Rate control (correct)
- Pharmacological cardioversion
- Electrical cardioversion
In patients with new-onset atrial fibrillation needing a rhythm-control strategy, what medications can be considered?
In patients with new-onset atrial fibrillation needing a rhythm-control strategy, what medications can be considered?
- Aspirin or warfarin
- Flecainide acetate or amiodarone hydrochloride (correct)
- Digoxin or metoprolol
- Verapamil hydrochloride or beta-blockers
When should a referral be made for specialized management in atrial fibrillation?
When should a referral be made for specialized management in atrial fibrillation?
- Within 1 week of symptoms reoccurring
- Within 2 weeks of treatment failure
- Within 6 weeks of acute presentation
- Within 4 weeks of treatment failure (correct)
What is the initial management approach to controlling atrial fibrillation?
What is the initial management approach to controlling atrial fibrillation?
In case of urgent rate control needed, what medication can be administered?
In case of urgent rate control needed, what medication can be administered?
What should be considered when deciding between pharmacological or electrical cardioversion in patients with new-onset atrial fibrillation?
What should be considered when deciding between pharmacological or electrical cardioversion in patients with new-onset atrial fibrillation?
Which of the following is a side effect of Mexiletine (Namuscla®)?
Which of the following is a side effect of Mexiletine (Namuscla®)?
What is the loading dose of Mexiletine (Namuscla®) for life-threatening ventricular arrhythmias in adults?
What is the loading dose of Mexiletine (Namuscla®) for life-threatening ventricular arrhythmias in adults?
In what condition is Lidocaine hydrochloride licensed for acute symptomatic treatment?
In what condition is Lidocaine hydrochloride licensed for acute symptomatic treatment?
What is the maximum daily dosage of Mexiletine (Namuscla®) for patients who are poor CYP2D6 metabolizers?
What is the maximum daily dosage of Mexiletine (Namuscla®) for patients who are poor CYP2D6 metabolizers?
Which of the following is a contraindication for Namuscla®?
Which of the following is a contraindication for Namuscla®?
What is the daily dosage of Namuscla® for myotonia in non-dystrophic myotonic disorders?
What is the daily dosage of Namuscla® for myotonia in non-dystrophic myotonic disorders?
Which medication is an alternative to amiodarone for cardiopulmonary resuscitation?
Which medication is an alternative to amiodarone for cardiopulmonary resuscitation?
What is the maintenance dosage range of Mexiletine (Namuscla®) for life-threatening ventricular arrhythmias in adults?
What is the maintenance dosage range of Mexiletine (Namuscla®) for life-threatening ventricular arrhythmias in adults?
What is the dosage of Mexiletine (Namuscla®) for supraventricular arrhythmias if necessary up to a maximum of $300$ mg daily?
What is the dosage of Mexiletine (Namuscla®) for supraventricular arrhythmias if necessary up to a maximum of $300$ mg daily?
What is the recommended maximum daily dosage of Namuscla® for rapid control or in heavily built patients with ventricular arrhythmias?
What is the recommended maximum daily dosage of Namuscla® for rapid control or in heavily built patients with ventricular arrhythmias?
What is the drug treatment typically recommended for atrial fibrillation?
What is the drug treatment typically recommended for atrial fibrillation?
In which patients with new-onset atrial fibrillation is oral anticoagulation recommended?
In which patients with new-onset atrial fibrillation is oral anticoagulation recommended?
Which drug can be used for rapid control of ventricular rate in atrial flutter?
Which drug can be used for rapid control of ventricular rate in atrial flutter?
What is the preferred treatment for the recurrence of atrial flutter?
What is the preferred treatment for the recurrence of atrial flutter?
Which drug can be considered for patients with atrial flutter when other drugs are ineffective?
Which drug can be considered for patients with atrial flutter when other drugs are ineffective?
What is the first-line treatment when rapid conversion to sinus rhythm is necessary?
What is the first-line treatment when rapid conversion to sinus rhythm is necessary?
What medication can worsen the condition of Torsade de pointes?
What medication can worsen the condition of Torsade de pointes?
What medication has contraindications such as pre-existing long QT syndrome and severe heart failure?
What medication has contraindications such as pre-existing long QT syndrome and severe heart failure?
What is the first-line treatment for preventing stroke in patients with atrial fibrillation?
What is the first-line treatment for preventing stroke in patients with atrial fibrillation?
What is the primary reason for adding digoxin in patients with heart failure receiving treatment for atrial flutter?
What is the primary reason for adding digoxin in patients with heart failure receiving treatment for atrial flutter?
What is the recommended dosage adjustment for individuals with a creatinine clearance between 10-30 mL/minute?
What is the recommended dosage adjustment for individuals with a creatinine clearance between 10-30 mL/minute?
In which condition is digoxin most useful according to the text?
In which condition is digoxin most useful according to the text?
What is the initial loading dose of digoxin for adults when given intravenously?
What is the initial loading dose of digoxin for adults when given intravenously?
Which of the following conditions is NOT listed as a contraindication for using digoxin?
Which of the following conditions is NOT listed as a contraindication for using digoxin?
When is regular monitoring of plasma-digoxin concentration necessary according to the text?
When is regular monitoring of plasma-digoxin concentration necessary according to the text?
What can hyperkalaemia predispose a patient to when taking digoxin?
What can hyperkalaemia predispose a patient to when taking digoxin?
Which anti-arrhythmic drug is used specifically for rapid conversion of recent onset atrial fibrillation to sinus rhythm?
Which anti-arrhythmic drug is used specifically for rapid conversion of recent onset atrial fibrillation to sinus rhythm?
What is the recommended dosage for adults taking Dronedarone to maintain sinus rhythm after cardioversion?
What is the recommended dosage for adults taking Dronedarone to maintain sinus rhythm after cardioversion?
Which anti-arrhythmic drug is known to cause abdominal discomfort, arrhythmias, chest pain, and dizziness as potential side effects?
Which anti-arrhythmic drug is known to cause abdominal discomfort, arrhythmias, chest pain, and dizziness as potential side effects?
What condition is a contraindication for the use of Sotalol hydrochloride due to its non-selective nature and potential to prolong the QT interval?
What condition is a contraindication for the use of Sotalol hydrochloride due to its non-selective nature and potential to prolong the QT interval?
Which drug should be used with particular care to avoid hypokalemia and correct electrolyte disturbances before and during its use?
Which drug should be used with particular care to avoid hypokalemia and correct electrolyte disturbances before and during its use?
In which cases should treatment with Vernakalant be avoided due to contraindications?
In which cases should treatment with Vernakalant be avoided due to contraindications?
What is a common side effect associated with the use of Adenosine?
What is a common side effect associated with the use of Adenosine?
What is a contra-indication for the use of Mexiletine?
What is a contra-indication for the use of Mexiletine?
How should amiodarone be administered intravenously?
How should amiodarone be administered intravenously?
What should be done if a patient experiences impaired vision while taking amiodarone?
What should be done if a patient experiences impaired vision while taking amiodarone?
Which of the following is a common side effect of Mexiletine?
Which of the following is a common side effect of Mexiletine?
What is the recommended action if liver function abnormalities are detected in a patient taking amiodarone?
What is the recommended action if liver function abnormalities are detected in a patient taking amiodarone?
When should patients shield their skin from light while on amiodarone treatment?
When should patients shield their skin from light while on amiodarone treatment?
What is a potential consequence of prolonged QRS interval while on amiodarone?
What is a potential consequence of prolonged QRS interval while on amiodarone?
Which patient group requires increased dosage of amiodarone according to the text?
Which patient group requires increased dosage of amiodarone according to the text?
What is the potential consequence of developing new or worsening respiratory symptoms while taking amiodarone?
What is the potential consequence of developing new or worsening respiratory symptoms while taking amiodarone?
What is a significant adverse reaction that can affect the eyes due to amiodarone treatment?
What is a significant adverse reaction that can affect the eyes due to amiodarone treatment?
