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Page 1: Iván Mendoza, M.D., FACC/media/Non-Clinical/Files-PDFs-Excel... · 2017-07-06 · V1 V2 V3 V4 V5 V6 II ... problem. Cardiovascular involvement in Zika is a fact Atrial fibrillation
Page 2: Iván Mendoza, M.D., FACC/media/Non-Clinical/Files-PDFs-Excel... · 2017-07-06 · V1 V2 V3 V4 V5 V6 II ... problem. Cardiovascular involvement in Zika is a fact Atrial fibrillation

Iván Mendoza, M.D., FACC

@mencardio

Arrhythmias and EP

Atrial Fibrillation. Prevention, Detection, and management

Page 3: Iván Mendoza, M.D., FACC/media/Non-Clinical/Files-PDFs-Excel... · 2017-07-06 · V1 V2 V3 V4 V5 V6 II ... problem. Cardiovascular involvement in Zika is a fact Atrial fibrillation

Conflict of interest

Page 4: Iván Mendoza, M.D., FACC/media/Non-Clinical/Files-PDFs-Excel... · 2017-07-06 · V1 V2 V3 V4 V5 V6 II ... problem. Cardiovascular involvement in Zika is a fact Atrial fibrillation

Symptomatic AF

Asymptomatic AF

Page 5: Iván Mendoza, M.D., FACC/media/Non-Clinical/Files-PDFs-Excel... · 2017-07-06 · V1 V2 V3 V4 V5 V6 II ... problem. Cardiovascular involvement in Zika is a fact Atrial fibrillation

Arterial Hypertension

Age

Diabetes

Familiar

Myocarditis

Valvular heart disease

Myocardial infarction

Heart Failure

Obesity

Alcohol

Sleep Apnea

Hyperthyroidism

Anger

As with an iceberg,

many dangers are

found beneath the

surface

Page 6: Iván Mendoza, M.D., FACC/media/Non-Clinical/Files-PDFs-Excel... · 2017-07-06 · V1 V2 V3 V4 V5 V6 II ... problem. Cardiovascular involvement in Zika is a fact Atrial fibrillation

CONSEQUENCES OF ATRIAL FIBRILLATION

Dementia

Heart failure

Increased mortality

Reduced quality of life

Sudden death

Cardiomyopathy

Myocardial infarction

Symptoms associated with AF

Hospitalizations

STROKE

Page 7: Iván Mendoza, M.D., FACC/media/Non-Clinical/Files-PDFs-Excel... · 2017-07-06 · V1 V2 V3 V4 V5 V6 II ... problem. Cardiovascular involvement in Zika is a fact Atrial fibrillation

Prevention of AF

Page 8: Iván Mendoza, M.D., FACC/media/Non-Clinical/Files-PDFs-Excel... · 2017-07-06 · V1 V2 V3 V4 V5 V6 II ... problem. Cardiovascular involvement in Zika is a fact Atrial fibrillation

Acute Atrial fibrillation

is a complication of?

a) Orally-acquired Acute Chagas disease.

b) Dengue

c) Chikungunya

d) Zika

e) All of them

Page 9: Iván Mendoza, M.D., FACC/media/Non-Clinical/Files-PDFs-Excel... · 2017-07-06 · V1 V2 V3 V4 V5 V6 II ... problem. Cardiovascular involvement in Zika is a fact Atrial fibrillation

14 year-old- boy with fever, palpitations, facial edema and dyspnea

I

II

III

aVR

aVL

aVF

V1

V2

V3

V4

V5

V6

II

Page 10: Iván Mendoza, M.D., FACC/media/Non-Clinical/Files-PDFs-Excel... · 2017-07-06 · V1 V2 V3 V4 V5 V6 II ... problem. Cardiovascular involvement in Zika is a fact Atrial fibrillation

• Vectorial• Oral• Transfusion• Congenital• Transplant

Page 11: Iván Mendoza, M.D., FACC/media/Non-Clinical/Files-PDFs-Excel... · 2017-07-06 · V1 V2 V3 V4 V5 V6 II ... problem. Cardiovascular involvement in Zika is a fact Atrial fibrillation

The explosive pandemic of arbovirus infection throughout the world is considered a public health

problem.

Cardiovascular involvement in Zika is a fact

Atrial fibrillation (AF) is considered rare in

Chikungunya and Dengue.

Arbovirus infection

Atrial fibrillation

Page 12: Iván Mendoza, M.D., FACC/media/Non-Clinical/Files-PDFs-Excel... · 2017-07-06 · V1 V2 V3 V4 V5 V6 II ... problem. Cardiovascular involvement in Zika is a fact Atrial fibrillation

62 palpitations & dyspnea

5 days after the onset of Zika

Page 13: Iván Mendoza, M.D., FACC/media/Non-Clinical/Files-PDFs-Excel... · 2017-07-06 · V1 V2 V3 V4 V5 V6 II ... problem. Cardiovascular involvement in Zika is a fact Atrial fibrillation

70 Acute AFOn day 7 of Chikungunya

Page 14: Iván Mendoza, M.D., FACC/media/Non-Clinical/Files-PDFs-Excel... · 2017-07-06 · V1 V2 V3 V4 V5 V6 II ... problem. Cardiovascular involvement in Zika is a fact Atrial fibrillation

29 developed acute AF on day 8 of Dengue illness

Dengue illness

Page 15: Iván Mendoza, M.D., FACC/media/Non-Clinical/Files-PDFs-Excel... · 2017-07-06 · V1 V2 V3 V4 V5 V6 II ... problem. Cardiovascular involvement in Zika is a fact Atrial fibrillation

In relationship with Dengue and AF,

which is true?

a) Oral anticoagulation is contraindicated in all cases.

b) Heparin is the first choice of anticoagulation

c) AF is usually preceded by heart failure.

d) Amiodarone is contraindicated

e) None of the above

Page 16: Iván Mendoza, M.D., FACC/media/Non-Clinical/Files-PDFs-Excel... · 2017-07-06 · V1 V2 V3 V4 V5 V6 II ... problem. Cardiovascular involvement in Zika is a fact Atrial fibrillation

cMRI Zika

Page 17: Iván Mendoza, M.D., FACC/media/Non-Clinical/Files-PDFs-Excel... · 2017-07-06 · V1 V2 V3 V4 V5 V6 II ... problem. Cardiovascular involvement in Zika is a fact Atrial fibrillation

Thank you@mencardio