Atrial fibrillation is the most commonly encountered, clinically significant arrhythmia. Dr Eli Gelfand discusses the key issues of atrial fibrillation management and takes a deep dive into the complexities and evidence that informs the pillars of atrial fibrillation management: anticoagulation, rate and rhythm control.
Introduction 0:00 Pathophysiology 1:24 Risk Factors 3:00 Atrial Fibrillation and Stroke Risk 6:18 Pillar One - Anticoagulation and CHADSVASC: 9:30 Direct Oral Anticoagulation: 18:30 Summary of Anticoagulation: 24:35 Pillar Two – Rate Control: 25:00 Pillar Three- Rhythm Control: 33:10 Atrial Fibrillation and Heart Failure: 41:00 Conclusion and Takeaways: 42:56
This podcast is part of the series, Curbside Consults, which complements the foundational information in Rotation Prep by taking a deep dive into key topics with expert clinicians and educators. As we explore the details of pathophysiology and critique the evidence behind clinical practice, these conversations are intended to give you better understanding of the topic and greater confidence when treating your patients.
Dr. Eli Gelfand is an Assistant Professor of Medicine at Harvard Medical School and the Section Chief of General Cardiology at Beth Israel Deaconess Medical Center (BIDMC). Dr. Gelfand is an active clinical cardiologist, who is involved in developing clinical applications of diagnostic imaging modalities, such as three-dimensional (3D) and intracardiac echocardiography (ICE) and cardiovascular magnetic resonance (CMR) imaging, with particular focus on imaging support of minimally-invasive therapies for valvular and congenital cardiac disease. He founded the Russian Cardiovascular and Latino Cardiovascular Clinics at BIDMC and has an active interest in Immigrant Health and Global Health issues. Concomitantly he serves as the Medical Director of Boston Symphony Hall.
Mike Mi is a 2017-2018 NEJM Editorial Fellow and a hospitalist at Beth Israel Deaconess Medical Center. He graduated from Harvard Medical School and completed his internal medicine training at BIDMC.