Konsiderasi Atrial Fibrilasi

Perioperative
dr. Fansuri Ikhsan

Pembimbing:
dr. Budi Kurniawan, Sp.An., FCTA., KAKV
 Pre-existing AF

Atrial Fibrilasi New Onset AF

Paroxysmal Atrial Fibrilation (PAF)

 Pre-existing AF
Preoperative
Management
• ECG should be considered for patients over
the age of 40 who are assessed as ASA II or
above

• the absence of P waves and QRS complexes

that occur in an irregularly irregular rhythm

• Patients with persistent or permanent AF

should have their heart rate adequately
controlled prior to an elective operation 
B-bloker & CCB (verapamil and diltiazem
are often omitted on the day of surgery
owing to their associated hypotension and
profound bradycardia under anaesthesia)

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 Pre-existing AF
Preoperative
• ECG should be considered for patients over
Management
the age of 40 who are assessed as ASA II or
above
• the absence of P waves and QRS complexes
that occur in an irregularly irregular rhythm
Postoperative
Management

Postoperative
Management

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primary goals
 quarterly performance
Q1

Q2

Q3

Q4

- 1.0 2.0 3.0 4.0 5.0 6.0

Series 1 Series 2

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 areas of growth
B2B SUPPLY CHAIN ROI E-COMMERCE

Q1 4.5 2.3 1.7 5.0

Q2 3.2 5.1 4.4 3.0

Q3 2.1 1.7 2.5 2.8

Q4 4.5 2.2 1.7 7.0

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 RICHARD BRANSON

“Business opportunities are like buses.

There's always another one coming.”

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 meet our team

TAKUMA HAYASHI MIRJAM NILSSON​ FLORA BERGGREN​ RAJESH SANTOSHI

president chief executive officer chief operations officer vp marketing

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meet our extended team

TAKUMA HAYASHI MIRJAM NILSSON​ FLORA BERGGREN​ RAJESH SANTOSHI

president chief executive officer chief operations officer vp marketing

GRAHAM BARNES ROWAN MURPHY ELIZABETH MOORE ROBINE KLINE

vp product SEO strategist product designer content developer
 plan for product launch
PLANNING synergize scalable e-commerce

MARKETING disseminate standardized metrics

DESIGN coordinate e-business applications

STRATEGY foster holistically superior methodologies

LAUNCH deploy strategic networks with compelling e-business needs

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timeline
NOV 20XX
disseminate standardized metrics

SEP 20XX
synergize scalable e-commerce

JAN 20XX
coordinate e-business applications

MAR 20XX MAY 20XX

foster holistically superior deploy strategic networks with
methodologies compelling e-business needs
 areas of focus
B2B MARKET SCENARIOS
o Develop winning strategies to keep ahead of the competition
o Capitalize on low-hanging fruit to identify a ballpark value
o Visualize customer directed convergence​

CLOUD-BASED OPPORTUNITIES
o Iterative approaches to corporate strategy
o Establish a management framework from the inside

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 how we get there
ROI NICHE MARKETS SUPPLY CHAINS

o Envision multimedia- o Pursue scalable customer o Cultivate one-to-one

based expertise and cross- service through customer service with
media growth strategies sustainable strategies robust ideas

o Visualize quality o Engage top-line web o Maximize timely

intellectual capital services with cutting-edge deliverables for real-time
deliverables schemas
o Engage worldwide
methodologies with web-
enabled technologies

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 summary
At Contoso, we believe in giving 110%. By
using our next-generation data architecture, we
help organizations virtually manage
agile workflows. We thrive because of our
market knowledge and great team behind our
product. As our CEO says, "Efficiencies will
come from proactively transforming how we
do business."​

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thank you
mirjam nilsson
mirjam@contoso.com
www.contoso.com