Atrial Fibrillation review

  Using the American College of Cardiology Atrial Fibrillation Management Guidelines Review 1 patient record for Afib Management. Instructions Select 1 individual age >64 years of age from your clinical rotation. Review the patient’s EMR. Please maintain HIPAA compliant documentation in your paper and upload it as a Word document. Atrial Fibrillation review Provides an analysis using all four of the following tools: SAF Scale | CHA2DS2-VASc HAS-BLED Antithrombotic therapy and AFib medications Provides thorough analysis of antithrombotic and Afib medications. Patient education for antithrombotic and AFib medications. Provides thorough and appropriate patient education for antithrombotic and Afib medications. Patient documentation meets HIPPA guidelines Does not disclose Protected Health Information (PHI) identifiers. Citations and Formatting Provides five references that are relevant to content and published within the last five years ****CASE PATIENT***** Black GENDER: Male AGE: 83 HPI: The patient is an 83 y/o male with a PMH significant for hyperkalemia. He is currently in care at AGCC. Cardiology was consulted to start in-house management of unspecified atrial fibrillation, chronic systolic (congestive) heart failure, essential (primary) hypertension. His warfarin for his Afib is on hold due to supratherapeutic INR of 7.2. His INR from yesterday is down to 5.4. He has no cardiac complaints. HISTORY: 12-Lead ECG, 4/10/22: 1. ATRIAL FIBRILLATION WITH RAPID VENTRICULAR RESPONSE. Echocardiogram, 3/31/22: 1. Left ventricle: The cavity size is normal. Wall thickness is moderately increased 1.5/1.4 cm. Systolic function is mildly reduced. The estimated ejection fraction is 45-50%. There is mild diffuse hypokinesis. Grade II diastolic dysfunction. 2. Right ventricle: The cavity size is mildly increased. Systolic function is mild-to-moderately reduced. TAPSE measures 1.4 cm. Estimated peak RV systolic pressure is calculated 25 mm Hg. 3. Left atrium: The atrium is mildly to moderately dilated. 4. Right atrium: The atrium is mildly to moderately dilated. 5. Tricuspid valve: There is mild-moderate regurgitation. 6. Pulmonic valve: There is mild to moderate regurgitation. 7. Mitral valve: There is mild regurgitation. 8. Aorta: The descending thoracic aorta appears mildly dilated (measuring 3.3 x 3.3 cm). Carotid Ultrasound, 3/31/22: 1. There was no evidence of hemodynamically significant stenosis on either of the left or right internal carotid arteries. 2. Vertebral flow was antegrade bilaterally. Past Medical History: Altered mental status Acute respiratory failure Chronic atrial fibrillation Hyperkalemia Past Surgical History: Family History: No prematurure CVD. Allergies: Penicillin. Social History: Denies ETOH, smoking, recreational drug use. MEDICATIONS: 1. Famotidine 20 MG QD. 2. Atorvastatin Calcium 80 MG QPM. 3. Modafinil 200 MG QD. 4. Acetaminophen 650 MG Q4H PRN. 5. Entresto 97-103 MG BID. 6. Carvedilol 25 MG BID.