The Curbsiders Internal Medicine Podcast Reboot #159 Atrial Fibrillation
Aug 9, 2021
01:23:18
Guest’s Outdoor Roots And Hobbies
- James Furgerson shared he enjoys outdoor work like ranching, fishing, running, cycling, and hiking outside medicine.
- He values living with purpose and spending discretionary time outdoors with family and dog.
Initial Workup For Palpitations
- Order an echocardiogram and ambulatory monitor for patients with palpitations and risk factors like hypertension or obesity.
- Use exam signs (JVP, murmurs, S3/S4) and basic labs to guide further testing and management.
How Much AF Burden Matters
- Subclinical short bursts of AF detected by wearables raise questions about disease definition and stroke risk.
- Six minutes to 24 hours is the likely region where AF burden becomes prognostically important.
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Introduction
00:00 • 2min
A Great Interview With Dr Jim Ferguson on Atro Fibrillation
01:48 • 3min
Can You Give a One Liner About Your Life Outside the World of Medicine?
04:31 • 4min
Is There a Risk of Atrial Fibrillation?
08:36 • 4min
Atrial Fibrillation and Stroke
13:02 • 3min
Is There an Echo Cardagram for Atrial Fibrillation?
15:53 • 3min
The Importance of Sleep Apnia in Treatment of Atra Fibrelation
18:31 • 3min
Atro Fibrillation and Coronary Arter Disease
21:47 • 3min
Student Loan Refinance
25:02 • 2min
Panacea Financial - A Better Way to Refinance Your Student Loans
26:53 • 4min
Atro Fibrosis
31:12 • 2min
The Race Trial, Is That a Lenient Rate Control?
33:02 • 2min
The Race Trial and Race Trial
34:47 • 4min
Is Radio Frequency Oblation a Good Option for Heart Failure?
39:04 • 3min
Are There Any Patients With Atropipelation That You Think Should Be Considered for Cardiology?
41:55 • 3min
C M E 100 Video Package - Learn and Earn With 75 Hours of Virtual Scientific Lectures
44:55 • 4min
The Latest Guideline Is Recommending Direct Acting Oral Anticoagulants
48:35 • 5min
Are Direct Acting Oral Drugs a Good Choice?
53:13 • 2min
The Reversal Thing Is Not as Big as Some People Think
55:32 • 4min
The Atrio Ventricula Ofrytmias
59:34 • 2min
Cardy Oversion
01:01:19 • 3min
Rate Control for Patients With Atral Fibulation
01:04:30 • 5min
Stroke Risks After Cardioversion
01:09:01 • 2min
Are There Any Counseling Measures for Patients With Atro Fibrillation?
01:10:42 • 3min
Anticoagulation and Treatment of Atrofebrelation in Critical Illness
01:13:35 • 2min
Is There a Risk of Recurrence of Atre Fibulation?
01:16:00 • 4min
Atra Fibelation - A Tra Fibelated Patient?
01:19:31 • 3min
Enjoy this Curbsiders classic and stay tuned this Wednesday, August 11, 2021 for a brand new Afib Triple Distilled version.
Take control of atrial fibrillation with expert insights and pearls from cardiologist, Dr. James Furgerson, in this jam-packed episode! You’ll learn why atrial fibrillation is such a big deal, how to diagnose it, how to treat it and when to call in for reinforcements. Dr. James Furgerson, MD is a cardiologist from San Antonio, Texas with over 20 years in academics. Buckle up – This episode is going to send your heart racing! You might even skip a beat!
Take control of atrial fibrillation with expert insights and pearls from cardiologist, Dr. James Furgerson, in this jam-packed episode! You’ll learn why atrial fibrillation is such a big deal, how to diagnose it, how to treat it and when to call in for reinforcements. Dr. James Furgerson, MD is a cardiologist from San Antonio, Texas with over 20 years in academics. Buckle up – This episode is going to send your heart racing! You might even skip a beat!
Credits
- Writer and Producer: Cyrus Askin MD
- Infographic: Cyrus Askin MD
- Cover Art: Cyrus Askin MD
- Hosts: Matthew Watto MD, Paul Williams MD, Cyrus Askin MD
- Editors: Matthew Watto MD
- Guest: James Furgerson MD
Sponsor: American College of Physicians acponline.org/100curb
ACP CME 100 virtual video package includes 100 hours of practice-changing updates by expert faculty from Internal Medicine Meeting 2021 acponline.org/100CURB. Plus enjoy an exclusive: 25 bonus CME sessions and access until June 1, 2024!
Time Stamps*
*Note: Time stamps refer to ad-free version
*Note: Time stamps refer to ad-free version
- 00:00 Intro, disclaimer and guest bio
- 03:45 Guest one liner, a bit on physician well-being and some other randomness
- 08:15 A case of palpitations; risk factors for atrial fibrillation
- 12:17 Subclinical atrial fibrillation, overdiagnosis of atrial fibrillation; How much afib burden matters?
- 15:08 Case summary and next steps in initial work up
- 18:48 Counseling patient about atrial fibrillation and its consequences
- 21:40 Ischemic heart disease and atrial fibrillation
- 24:17 Recap of diagnosis, initial work up and risk stratification in atrial fibrillation
- 25:25 Rate versus rhythm control; AFFIRM trial
- 30:50 Strict versus lenient rate control; RACE trial
- 33:30 Deciding on rate versus rhythm control; Downside of antiarrhythmic therapies; When to switch from rate to rhythm control strategy
- 36:52 Ablation for atrial fibrillation; CASTLE-AF, CABANA trials
- 40:40 When to refer to cardiology and electrophysiology
- 42:42 Choice of agent for anticoagulation and latest guidelines for atrial fibrillation; New definition for valvular atrial fibrillation
- 45:22 DOACs in CKD and some other nuances in choice of agent
- 52:27 Bleeding and anticoagulation
- 58:38 Cardioversion for atrial fibrillation (initial versus delayed)
- 63:32 Anticoagulation before and after cardioversion
- 67:48 Lifestyles measures for atrial fibrillation
- 70:45 Atrial fibrillation during critical illness, after CABG and in hyperthyroidism
- 74:12 Aspirin monotherapy is not appropriate for atrial fibrillation
- 76:42 Take home points
- 78:50 Outro