EconomyEnglish7.2/10 · BronzeCSV file availableUpdated 19 Oct 2026

1768823343_cardiology_1-1 - Question and Answer Dataset

Name: 1768823343_cardiology_1-1 - Question and Answer Dataset
Creator: icmr.gov.in
Keywords: Economy, question-answering, extractive-qa, atrial-fibrillation, standard-treatment-workflow, icd-11-bc81-31, paroxysmal-af, persistent-af, permanent-af, systolic-bp, heart-rate, angina

#question-answering#extractive-qa#atrial-fibrillation#standard-treatment-workflow#icd-11-bc81-31#paroxysmal-af#persistent-af#permanent-af#systolic-bp#heart-rate#angina

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About this dataset

19 extractive question-and-answer pairs built from 1768823343 cardiology 1-1, published by icmr.gov.in. The source is a 1-page publication. Source-evidenced topics include atrial fibrillation, standard treatment workflow, icd-11-bc81.31, paroxysmal af, persistent af, permanent af, systolic bp, heart rate. Every answer is a verbatim span of text the source prints, and each row carries the passage it sits in, its offset in that passage, the source quote, the page and the location in the document, so any row can be checked against the original. Question types in the export: 10 list, 5 factual, 2 definition, 2 summary. 14 of the 19 pairs (73.7%) ask explanatory questions; the remaining 5 are factual or table-based questions. 100.00% of rows pass the corpus quality gate.

The story in this dataset

Extractive Q&A dataset on atrial fibrillation management

This dataset contains 19 extractive question-and-answer pairs focused on atrial fibrillation (AF) management, sourced from a single-page publication by icmr.gov.in. The questions cover definitions, symptoms, risk factors, and treatment protocols for various AF types, including paroxysmal, persistent, and permanent AF. Answers are verbatim excerpts from the source document, ensuring traceability. The dataset includes explanatory questions (73.7%) and factual or table-based questions (26.3%), providing a structured overview of AF-related clinical guidelines.

Definition of long-standing persistent AF: AF lasting for > 1 year

Preview

First 10 of 19 rows

Sample rows from 1768823343_cardiology_1-1 - Question and Answer Dataset
question	answer	context	answer_start	question_type	knowledge_quality_score	source_document	source_quote	source_page	source_location	confidence	validation_status
What is the definition of long-standing persistent atrial fibrillation?	AF lasting for > 1 year	• Paroxysmal AF: Episodes of AF for less than 7 days • Persistent AF: AF lasing from 7 days to 1 year • Long standing perssistent AF: AF lasting for > 1 year • Permanent AF: AF with heart rate control as only option LOOK FOR IMMEDIATE INTERVENTION INDICATORS • Systolic BP 90 mmHg, HR > 150 or <50/min • Ongoing Angina • CHF or TIA or stroke • Major bleed on Oral Anti-coagulants CHOICE OF ANTI-COAGULATION • Direct oral anticoagulants (DOAC) • Aim for INR 2-3 • Assess risk of bleeding • Take measures to reduce/ modify risk of bleeding • VKA only if severe M.S or metallic valve	134	definition	1.000	https://www.icmr.gov.in/icmrobject/uploads/STWs/1768823343_cardiology_1-1.pdf	• Paroxysmal AF: Episodes of AF for less than 7 days • Persistent AF: AF lasing from 7 days to 1 year • Long standing perssistent AF: AF lasting for > 1 year • Permanent AF: AF with heart rate control as only option LOOK FOR IMMEDIATE INTERVENTION INDICATORS • Systolic BP 90 mmHg, HR > 150 or <50/min • Ongoing Angina • CHF or TIA or stroke • Major bleed on Oral Anti-coagulants CHOICE OF ANTI-COAGULATION • Direct oral anticoagulants (DOAC) • Aim for INR 2-3 • Assess risk of bleeding • Take measures to reduce/ modify risk of bleeding • VKA only if severe M.S or metallic valve	1	page=1,block=4	0.700	valid
What does NOAC stand for?	Non-Vitamin K antagonist Oral Anticoagulants	• Re-assess clinical status, need and adequacy of OAC • Start NOAC (Non-Vitamin K antagonist Oral Anticoagulants) • Optimise management of underlying cardiac disease • Stress life style and AF risk factor modification • Assess need for rhythm control and discuss pros & cons • Consider RFA in select patient	68	definition	0.980	https://www.icmr.gov.in/icmrobject/uploads/STWs/1768823343_cardiology_1-1.pdf	• Re-assess clinical status, need and adequacy of OAC • Start NOAC (Non-Vitamin K antagonist Oral Anticoagulants) • Optimise management of underlying cardiac disease • Stress life style and AF risk factor modification • Assess need for rhythm control and discuss pros & cons • Consider RFA in select patient	1	page=1,block=96	0.700	valid
What should be done for patients with hemodynamic instability and uncontrolled symptoms?	Immediate cardioversion after heparinization	In all patients except hemodynamic instability Beta blocker or calcium blocker or combination BB + digoxin in HF Pharmacological Cardioversion Long Term Rhythm Control Rate aim to be less than 110/ min Hemodynamic instability Uncontrolled symptoms despite HR control Unacceptable rate control drug side effects Patients’ preference • Admit if indicators of early interventions • Immediate cardioversion after heparinization,if hemodynamic instability • Manage precipitating factors if any • Assess stroke, bleeding risk & coagulation parameters • Detailed echocardiogram • Start OAC (Oral Anticoagulant) • Control HR by single drug or combination of BB & Ca Blocker Refer HR uncontrolled or CHF or angina	379	summary	0.890	https://www.icmr.gov.in/icmrobject/uploads/STWs/1768823343_cardiology_1-1.pdf	In all patients except hemodynamic instability Beta blocker or calcium blocker or combination BB + digoxin in HF Pharmacological Cardioversion Long Term Rhythm Control Rate aim to be less than 110/ min Hemodynamic instability Uncontrolled symptoms despite HR control Unacceptable rate control drug side effects Patients’ preference • Admit if indicators of early interventions • Immediate cardioversion after heparinization,if hemodynamic instability • Manage precipitating factors if any • Assess stroke, bleeding risk & coagulation parameters • Detailed echocardiogram • Start OAC (Oral
What should be done immediately in case of hemodynamic instability?	Immediate cardioversion after heparinization	In all patients except hemodynamic instability Beta blocker or calcium blocker or combination BB + digoxin in HF Pharmacological Cardioversion Long Term Rhythm Control Rate aim to be less than 110/ min Hemodynamic instability Uncontrolled symptoms despite HR control Unacceptable rate control drug side effects Patients’ preference • Admit if indicators of early interventions • Immediate cardioversion after heparinization,if hemodynamic instability • Manage precipitating factors if any • Assess stroke, bleeding risk & coagulation parameters • Detailed echocardiogram • Start OAC (Oral Anticoagulant) • Control HR by single drug or combination of BB & Ca Blocker Refer HR uncontrolled or CHF or angina	379	summary	0.890	https://www.icmr.gov.in/icmrobject/uploads/STWs/1768823343_cardiology_1-1.pdf	In all patients except hemodynamic instability Beta blocker or calcium blocker or combination BB + digoxin in HF Pharmacological Cardioversion Long Term Rhythm Control Rate aim to be less than 110/ min Hemodynamic instability Uncontrolled symptoms despite HR control Unacceptable rate control drug side effects Patients’ preference • Admit if indicators of early interventions • Immediate cardioversion after heparinization,if hemodynamic instability • Manage precipitating factors if any • Assess stroke, bleeding risk & coagulation parameters • Detailed echocardiogram • Start OAC (Oral
What are common symptoms of atrial fibrillation during rapid heart rate palpitations?	General fatigue or weakness or exhaustion • Dizziness, near syncope or syncope • Shortness of breath • Chest pain	SYMPTOMS - Rapid rate palpitations with or without • General fatigue or weakness or exhaustion • Dizziness, near syncope or syncope • Shortness of breath • Chest pain - More marked on exertion LOOK FOR PRECIPITATING FACTORS • Post (cardiac) surgery • Alcoholism or binge drinking • Myo-pericarditis or ACS • Pneumonitis or pulmonary embolism • Sepsis, hyperthyroidism SIGNS - Irregularly irregular pulse - Variable heart sound LOOK FOR RISK FACTORS • Prior valvular heart disease or CHF or MI • Prior TIA or stroke or embolic episode • Hypertension, DM, COPD,CKD, Obesity	53	list	0.820	https://www.icmr.gov.in/icmrobject/uploads/STWs/1768823343_cardiology_1-1.pdf	SYMPTOMS - Rapid rate palpitations with or without • General fatigue or weakness or exhaustion • Dizziness, near syncope or syncope • Shortness of breath • Chest pain - More marked on exertion LOOK FOR PRECIPITATING FACTORS • Post (cardiac) surgery • Alcoholism or binge drinking • Myo-pericarditis or ACS • Pneumonitis or pulmonary embolism • Sepsis, hyperthyroidism SIGNS - Irregularly irregular pulse - Variable heart sound LOOK FOR RISK FACTORS • Prior valvular heart disease or CHF or MI • Prior TIA or stroke or embolic episode • Hypertension, DM, COPD,CKD, Obesity
What are some immediate intervention indicators for atrial fibrillation?	Systolic BP 90 mmHg, HR > 150 or <50/min • Ongoing Angina • CHF or TIA or stroke • Major bleed on Oral Anti-coagulants	• Paroxysmal AF: Episodes of AF for less than 7 days • Persistent AF: AF lasing from 7 days to 1 year • Long standing perssistent AF: AF lasting for > 1 year • Permanent AF: AF with heart rate control as only option LOOK FOR IMMEDIATE INTERVENTION INDICATORS • Systolic BP 90 mmHg, HR > 150 or <50/min • Ongoing Angina • CHF or TIA or stroke • Major bleed on Oral Anti-coagulants CHOICE OF ANTI-COAGULATION • Direct oral anticoagulants (DOAC) • Aim for INR 2-3 • Assess risk of bleeding • Take measures to reduce/ modify risk of bleeding • VKA only if severe M.S or metallic valve	261	list	0.820	https://www.icmr.gov.in/icmrobject/uploads/STWs/1768823343_cardiology_1-1.pdf	• Paroxysmal AF: Episodes of AF for less than 7 days • Persistent AF: AF lasing from 7 days to 1 year • Long standing perssistent AF: AF lasting for > 1 year • Permanent AF: AF with heart rate control as only option LOOK FOR IMMEDIATE INTERVENTION INDICATORS • Systolic BP 90 mmHg, HR > 150 or <50/min • Ongoing Angina • CHF or TIA or stroke • Major bleed on Oral Anti-coagulants CHOICE OF ANTI-COAGULATION • Direct oral anticoagulants (DOAC) • Aim for INR 2-3 • Assess risk of bleeding • Take measures to reduce/ modify risk of bleeding • VKA only if severe M.S or metallic valve
What are some precipitating factors for atrial fibrillation?	Post (cardiac) surgery • Alcoholism or binge drinking • Myo-pericarditis or ACS • Pneumonitis or pulmonary embolism • Sepsis, hyperthyroidism	SYMPTOMS - Rapid rate palpitations with or without • General fatigue or weakness or exhaustion • Dizziness, near syncope or syncope • Shortness of breath • Chest pain - More marked on exertion LOOK FOR PRECIPITATING FACTORS • Post (cardiac) surgery • Alcoholism or binge drinking • Myo-pericarditis or ACS • Pneumonitis or pulmonary embolism • Sepsis, hyperthyroidism SIGNS - Irregularly irregular pulse - Variable heart sound LOOK FOR RISK FACTORS • Prior valvular heart disease or CHF or MI • Prior TIA or stroke or embolic episode • Hypertension, DM, COPD,CKD, Obesity	226	list	0.820	https://www.icmr.gov.in/icmrobject/uploads/STWs/1768823343_cardiology_1-1.pdf	SYMPTOMS - Rapid rate palpitations with or without • General fatigue or weakness or exhaustion • Dizziness, near syncope or syncope • Shortness of breath • Chest pain - More marked on exertion LOOK FOR PRECIPITATING FACTORS • Post (cardiac) surgery • Alcoholism or binge drinking • Myo-pericarditis or ACS • Pneumonitis or pulmonary embolism • Sepsis, hyperthyroidism SIGNS - Irregularly irregular pulse - Variable heart sound LOOK FOR RISK FACTORS • Prior valvular heart disease or CHF or MI • Prior TIA or stroke or embolic episode • Hypertension, DM, COPD,CKD, Obesity
What are some risk factors for atrial fibrillation?	Prior valvular heart disease or CHF or MI • Prior TIA or stroke or embolic episode • Hypertension, DM, COPD,CKD, Obesity	SYMPTOMS - Rapid rate palpitations with or without • General fatigue or weakness or exhaustion • Dizziness, near syncope or syncope • Shortness of breath • Chest pain - More marked on exertion LOOK FOR PRECIPITATING FACTORS • Post (cardiac) surgery • Alcoholism or binge drinking • Myo-pericarditis or ACS • Pneumonitis or pulmonary embolism • Sepsis, hyperthyroidism SIGNS - Irregularly irregular pulse - Variable heart sound LOOK FOR RISK FACTORS • Prior valvular heart disease or CHF or MI • Prior TIA or stroke or embolic episode • Hypertension, DM, COPD,CKD, Obesity	451	list	0.820	https://www.icmr.gov.in/icmrobject/uploads/STWs/1768823343_cardiology_1-1.pdf	SYMPTOMS - Rapid rate palpitations with or without • General fatigue or weakness or exhaustion • Dizziness, near syncope or syncope • Shortness of breath • Chest pain - More marked on exertion LOOK FOR PRECIPITATING FACTORS • Post (cardiac) surgery • Alcoholism or binge drinking • Myo-pericarditis or ACS • Pneumonitis or pulmonary embolism • Sepsis, hyperthyroidism SIGNS - Irregularly irregular pulse - Variable heart sound LOOK FOR RISK FACTORS • Prior valvular heart disease or CHF or MI • Prior TIA or stroke or embolic episode • Hypertension, DM, COPD,CKD, Obesity
What combination of drugs is mentioned for heart rate control in heart failure?	BB + digoxin in HF	In all patients except hemodynamic instability Beta blocker or calcium blocker or combination BB + digoxin in HF Pharmacological Cardioversion Long Term Rhythm Control Rate aim to be less than 110/ min Hemodynamic instability Uncontrolled symptoms despite HR control Unacceptable rate control drug side effects Patients’ preference • Admit if indicators of early interventions • Immediate cardioversion after heparinization,if hemodynamic instability • Manage precipitating factors if any • Assess stroke, bleeding risk & coagulation parameters • Detailed echocardiogram • Start OAC (Oral Anticoagulant) • Control HR by single drug or combination of BB & Ca Blocker Refer HR uncontrolled or CHF or angina	94	list	0.820	https://www.icmr.gov.in/icmrobject/uploads/STWs/1768823343_cardiology_1-1.pdf	In all patients except hemodynamic instability Beta blocker or calcium blocker or combination BB + digoxin in HF Pharmacological Cardioversion Long Term Rhythm Control Rate aim to be less than 110/ min Hemodynamic instability Uncontrolled symptoms despite HR control Unacceptable rate control drug side effects Patients’ preference • Admit if indicators of early interventions • Immediate cardioversion after heparinization,if hemodynamic instability • Manage precipitating factors if any • Assess stroke, bleeding risk & coagulation parameters • Detailed echocardiogram • Start OAC (Oral
What drugs are mentioned as factors in the bleeding risk score?	concomitant aspirin or NSAIDSs or alcohol	- Hypertension i.e. uncontrolled BP - Abnormal renal/ liver function - Stroke - Bleeding tendency or predisposition - Labile INR - Age (e.g. >65) - Drugs (e.g. concomitant aspirin or NSAIDSs or alcohol Maximum Score STROKE RISK SCORE BLEEDING RISK SCORE OAC if score >1 Bleeding Risk High in score >3	160	list	0.820	https://www.icmr.gov.in/icmrobject/uploads/STWs/1768823343_cardiology_1-1.pdf	>65) - Drugs (e.g. concomitant aspirin or NSAIDSs or alcohol Maximum Score STROKE RISK SCORE BLEEDING RISK SCORE OAC if score >1 Bleeding Risk High in score >3	1	page=1,block=35	0.700	valid

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Preview

First 10 of 19 rows

Sample rows from 1768823343_cardiology_1-1 - Question and Answer Dataset
question	answer	context	answer_start	question_type	knowledge_quality_score	source_document	source_quote	source_page	source_location	confidence	validation_status
What is the definition of long-standing persistent atrial fibrillation?	AF lasting for > 1 year	• Paroxysmal AF: Episodes of AF for less than 7 days • Persistent AF: AF lasing from 7 days to 1 year • Long standing perssistent AF: AF lasting for > 1 year • Permanent AF: AF with heart rate control as only option LOOK FOR IMMEDIATE INTERVENTION INDICATORS • Systolic BP 90 mmHg, HR > 150 or <50/min • Ongoing Angina • CHF or TIA or stroke • Major bleed on Oral Anti-coagulants CHOICE OF ANTI-COAGULATION • Direct oral anticoagulants (DOAC) • Aim for INR 2-3 • Assess risk of bleeding • Take measures to reduce/ modify risk of bleeding • VKA only if severe M.S or metallic valve	134	definition	1.000	https://www.icmr.gov.in/icmrobject/uploads/STWs/1768823343_cardiology_1-1.pdf	• Paroxysmal AF: Episodes of AF for less than 7 days • Persistent AF: AF lasing from 7 days to 1 year • Long standing perssistent AF: AF lasting for > 1 year • Permanent AF: AF with heart rate control as only option LOOK FOR IMMEDIATE INTERVENTION INDICATORS • Systolic BP 90 mmHg, HR > 150 or <50/min • Ongoing Angina • CHF or TIA or stroke • Major bleed on Oral Anti-coagulants CHOICE OF ANTI-COAGULATION • Direct oral anticoagulants (DOAC) • Aim for INR 2-3 • Assess risk of bleeding • Take measures to reduce/ modify risk of bleeding • VKA only if severe M.S or metallic valve	1	page=1,block=4	0.700	valid
What does NOAC stand for?	Non-Vitamin K antagonist Oral Anticoagulants	• Re-assess clinical status, need and adequacy of OAC • Start NOAC (Non-Vitamin K antagonist Oral Anticoagulants) • Optimise management of underlying cardiac disease • Stress life style and AF risk factor modification • Assess need for rhythm control and discuss pros & cons • Consider RFA in select patient	68	definition	0.980	https://www.icmr.gov.in/icmrobject/uploads/STWs/1768823343_cardiology_1-1.pdf	• Re-assess clinical status, need and adequacy of OAC • Start NOAC (Non-Vitamin K antagonist Oral Anticoagulants) • Optimise management of underlying cardiac disease • Stress life style and AF risk factor modification • Assess need for rhythm control and discuss pros & cons • Consider RFA in select patient	1	page=1,block=96	0.700	valid
What should be done for patients with hemodynamic instability and uncontrolled symptoms?	Immediate cardioversion after heparinization	In all patients except hemodynamic instability Beta blocker or calcium blocker or combination BB + digoxin in HF Pharmacological Cardioversion Long Term Rhythm Control Rate aim to be less than 110/ min Hemodynamic instability Uncontrolled symptoms despite HR control Unacceptable rate control drug side effects Patients’ preference • Admit if indicators of early interventions • Immediate cardioversion after heparinization,if hemodynamic instability • Manage precipitating factors if any • Assess stroke, bleeding risk & coagulation parameters • Detailed echocardiogram • Start OAC (Oral Anticoagulant) • Control HR by single drug or combination of BB & Ca Blocker Refer HR uncontrolled or CHF or angina	379	summary	0.890	https://www.icmr.gov.in/icmrobject/uploads/STWs/1768823343_cardiology_1-1.pdf	In all patients except hemodynamic instability Beta blocker or calcium blocker or combination BB + digoxin in HF Pharmacological Cardioversion Long Term Rhythm Control Rate aim to be less than 110/ min Hemodynamic instability Uncontrolled symptoms despite HR control Unacceptable rate control drug side effects Patients’ preference • Admit if indicators of early interventions • Immediate cardioversion after heparinization,if hemodynamic instability • Manage precipitating factors if any • Assess stroke, bleeding risk & coagulation parameters • Detailed echocardiogram • Start OAC (Oral
What should be done immediately in case of hemodynamic instability?	Immediate cardioversion after heparinization	In all patients except hemodynamic instability Beta blocker or calcium blocker or combination BB + digoxin in HF Pharmacological Cardioversion Long Term Rhythm Control Rate aim to be less than 110/ min Hemodynamic instability Uncontrolled symptoms despite HR control Unacceptable rate control drug side effects Patients’ preference • Admit if indicators of early interventions • Immediate cardioversion after heparinization,if hemodynamic instability • Manage precipitating factors if any • Assess stroke, bleeding risk & coagulation parameters • Detailed echocardiogram • Start OAC (Oral Anticoagulant) • Control HR by single drug or combination of BB & Ca Blocker Refer HR uncontrolled or CHF or angina	379	summary	0.890	https://www.icmr.gov.in/icmrobject/uploads/STWs/1768823343_cardiology_1-1.pdf	In all patients except hemodynamic instability Beta blocker or calcium blocker or combination BB + digoxin in HF Pharmacological Cardioversion Long Term Rhythm Control Rate aim to be less than 110/ min Hemodynamic instability Uncontrolled symptoms despite HR control Unacceptable rate control drug side effects Patients’ preference • Admit if indicators of early interventions • Immediate cardioversion after heparinization,if hemodynamic instability • Manage precipitating factors if any • Assess stroke, bleeding risk & coagulation parameters • Detailed echocardiogram • Start OAC (Oral
What are common symptoms of atrial fibrillation during rapid heart rate palpitations?	General fatigue or weakness or exhaustion • Dizziness, near syncope or syncope • Shortness of breath • Chest pain	SYMPTOMS - Rapid rate palpitations with or without • General fatigue or weakness or exhaustion • Dizziness, near syncope or syncope • Shortness of breath • Chest pain - More marked on exertion LOOK FOR PRECIPITATING FACTORS • Post (cardiac) surgery • Alcoholism or binge drinking • Myo-pericarditis or ACS • Pneumonitis or pulmonary embolism • Sepsis, hyperthyroidism SIGNS - Irregularly irregular pulse - Variable heart sound LOOK FOR RISK FACTORS • Prior valvular heart disease or CHF or MI • Prior TIA or stroke or embolic episode • Hypertension, DM, COPD,CKD, Obesity	53	list	0.820	https://www.icmr.gov.in/icmrobject/uploads/STWs/1768823343_cardiology_1-1.pdf	SYMPTOMS - Rapid rate palpitations with or without • General fatigue or weakness or exhaustion • Dizziness, near syncope or syncope • Shortness of breath • Chest pain - More marked on exertion LOOK FOR PRECIPITATING FACTORS • Post (cardiac) surgery • Alcoholism or binge drinking • Myo-pericarditis or ACS • Pneumonitis or pulmonary embolism • Sepsis, hyperthyroidism SIGNS - Irregularly irregular pulse - Variable heart sound LOOK FOR RISK FACTORS • Prior valvular heart disease or CHF or MI • Prior TIA or stroke or embolic episode • Hypertension, DM, COPD,CKD, Obesity
What are some immediate intervention indicators for atrial fibrillation?	Systolic BP 90 mmHg, HR > 150 or <50/min • Ongoing Angina • CHF or TIA or stroke • Major bleed on Oral Anti-coagulants	• Paroxysmal AF: Episodes of AF for less than 7 days • Persistent AF: AF lasing from 7 days to 1 year • Long standing perssistent AF: AF lasting for > 1 year • Permanent AF: AF with heart rate control as only option LOOK FOR IMMEDIATE INTERVENTION INDICATORS • Systolic BP 90 mmHg, HR > 150 or <50/min • Ongoing Angina • CHF or TIA or stroke • Major bleed on Oral Anti-coagulants CHOICE OF ANTI-COAGULATION • Direct oral anticoagulants (DOAC) • Aim for INR 2-3 • Assess risk of bleeding • Take measures to reduce/ modify risk of bleeding • VKA only if severe M.S or metallic valve	261	list	0.820	https://www.icmr.gov.in/icmrobject/uploads/STWs/1768823343_cardiology_1-1.pdf	• Paroxysmal AF: Episodes of AF for less than 7 days • Persistent AF: AF lasing from 7 days to 1 year • Long standing perssistent AF: AF lasting for > 1 year • Permanent AF: AF with heart rate control as only option LOOK FOR IMMEDIATE INTERVENTION INDICATORS • Systolic BP 90 mmHg, HR > 150 or <50/min • Ongoing Angina • CHF or TIA or stroke • Major bleed on Oral Anti-coagulants CHOICE OF ANTI-COAGULATION • Direct oral anticoagulants (DOAC) • Aim for INR 2-3 • Assess risk of bleeding • Take measures to reduce/ modify risk of bleeding • VKA only if severe M.S or metallic valve
What are some precipitating factors for atrial fibrillation?	Post (cardiac) surgery • Alcoholism or binge drinking • Myo-pericarditis or ACS • Pneumonitis or pulmonary embolism • Sepsis, hyperthyroidism	SYMPTOMS - Rapid rate palpitations with or without • General fatigue or weakness or exhaustion • Dizziness, near syncope or syncope • Shortness of breath • Chest pain - More marked on exertion LOOK FOR PRECIPITATING FACTORS • Post (cardiac) surgery • Alcoholism or binge drinking • Myo-pericarditis or ACS • Pneumonitis or pulmonary embolism • Sepsis, hyperthyroidism SIGNS - Irregularly irregular pulse - Variable heart sound LOOK FOR RISK FACTORS • Prior valvular heart disease or CHF or MI • Prior TIA or stroke or embolic episode • Hypertension, DM, COPD,CKD, Obesity	226	list	0.820	https://www.icmr.gov.in/icmrobject/uploads/STWs/1768823343_cardiology_1-1.pdf	SYMPTOMS - Rapid rate palpitations with or without • General fatigue or weakness or exhaustion • Dizziness, near syncope or syncope • Shortness of breath • Chest pain - More marked on exertion LOOK FOR PRECIPITATING FACTORS • Post (cardiac) surgery • Alcoholism or binge drinking • Myo-pericarditis or ACS • Pneumonitis or pulmonary embolism • Sepsis, hyperthyroidism SIGNS - Irregularly irregular pulse - Variable heart sound LOOK FOR RISK FACTORS • Prior valvular heart disease or CHF or MI • Prior TIA or stroke or embolic episode • Hypertension, DM, COPD,CKD, Obesity
What are some risk factors for atrial fibrillation?	Prior valvular heart disease or CHF or MI • Prior TIA or stroke or embolic episode • Hypertension, DM, COPD,CKD, Obesity	SYMPTOMS - Rapid rate palpitations with or without • General fatigue or weakness or exhaustion • Dizziness, near syncope or syncope • Shortness of breath • Chest pain - More marked on exertion LOOK FOR PRECIPITATING FACTORS • Post (cardiac) surgery • Alcoholism or binge drinking • Myo-pericarditis or ACS • Pneumonitis or pulmonary embolism • Sepsis, hyperthyroidism SIGNS - Irregularly irregular pulse - Variable heart sound LOOK FOR RISK FACTORS • Prior valvular heart disease or CHF or MI • Prior TIA or stroke or embolic episode • Hypertension, DM, COPD,CKD, Obesity	451	list	0.820	https://www.icmr.gov.in/icmrobject/uploads/STWs/1768823343_cardiology_1-1.pdf	SYMPTOMS - Rapid rate palpitations with or without • General fatigue or weakness or exhaustion • Dizziness, near syncope or syncope • Shortness of breath • Chest pain - More marked on exertion LOOK FOR PRECIPITATING FACTORS • Post (cardiac) surgery • Alcoholism or binge drinking • Myo-pericarditis or ACS • Pneumonitis or pulmonary embolism • Sepsis, hyperthyroidism SIGNS - Irregularly irregular pulse - Variable heart sound LOOK FOR RISK FACTORS • Prior valvular heart disease or CHF or MI • Prior TIA or stroke or embolic episode • Hypertension, DM, COPD,CKD, Obesity
What combination of drugs is mentioned for heart rate control in heart failure?	BB + digoxin in HF	In all patients except hemodynamic instability Beta blocker or calcium blocker or combination BB + digoxin in HF Pharmacological Cardioversion Long Term Rhythm Control Rate aim to be less than 110/ min Hemodynamic instability Uncontrolled symptoms despite HR control Unacceptable rate control drug side effects Patients’ preference • Admit if indicators of early interventions • Immediate cardioversion after heparinization,if hemodynamic instability • Manage precipitating factors if any • Assess stroke, bleeding risk & coagulation parameters • Detailed echocardiogram • Start OAC (Oral Anticoagulant) • Control HR by single drug or combination of BB & Ca Blocker Refer HR uncontrolled or CHF or angina	94	list	0.820	https://www.icmr.gov.in/icmrobject/uploads/STWs/1768823343_cardiology_1-1.pdf	In all patients except hemodynamic instability Beta blocker or calcium blocker or combination BB + digoxin in HF Pharmacological Cardioversion Long Term Rhythm Control Rate aim to be less than 110/ min Hemodynamic instability Uncontrolled symptoms despite HR control Unacceptable rate control drug side effects Patients’ preference • Admit if indicators of early interventions • Immediate cardioversion after heparinization,if hemodynamic instability • Manage precipitating factors if any • Assess stroke, bleeding risk & coagulation parameters • Detailed echocardiogram • Start OAC (Oral
What drugs are mentioned as factors in the bleeding risk score?	concomitant aspirin or NSAIDSs or alcohol	- Hypertension i.e. uncontrolled BP - Abnormal renal/ liver function - Stroke - Bleeding tendency or predisposition - Labile INR - Age (e.g. >65) - Drugs (e.g. concomitant aspirin or NSAIDSs or alcohol Maximum Score STROKE RISK SCORE BLEEDING RISK SCORE OAC if score >1 Bleeding Risk High in score >3	160	list	0.820	https://www.icmr.gov.in/icmrobject/uploads/STWs/1768823343_cardiology_1-1.pdf	>65) - Drugs (e.g. concomitant aspirin or NSAIDSs or alcohol Maximum Score STROKE RISK SCORE BLEEDING RISK SCORE OAC if score >1 Bleeding Risk High in score >3	1	page=1,block=35	0.700	valid

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1768823343_cardiology_1-1 - Question and Answer Dataset

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Extractive Q&A dataset on atrial fibrillation management

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