drrabines
Forum Elite
Topics: 90
Posts: 184
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if you have a 4 year old child with Auricular fibrilation and ventricular rate in 156 and BP 90/60 what is the next step
- Cardioversion or
- Medical managment (drugs)
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| zaki
Forum Guru
Topics: 92
Posts: 398
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If this episode is acute and he is not vitally stable then cardioversion, if he had chronic or duration of the disease is not know then anticoagulation and rate controll is recomended.(his bp can improve if u controll the ventricular rate.)
and i want to make one correction also its atrial fibrillation not auricular .
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Maverick
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| drrabines
Forum Elite
Topics: 90
Posts: 184
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Thanks, it helps me, yes is Atrial, lol,( i used my native language ), but thanks for understand
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| veri
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90/60 for a 4 year old child is normal so i think is medical managment
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| gballarino
Forum Senior
Topics: 12
Posts: 96
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never heard of atrial fib in pediatric patients (that is perhaps because Iīm not a pediatritian :wink: ). What would be the medical management of this patient? I would go for...
:arrow: Anticoagulation for prohpylaxis of embolic complications.
:arrow: Digoxin, beta-blocker or verapamil for ventricular frequency control.
:arrow: Amiodarone for pharmacological cardioversion, when apropriate.
If pharm cardioversion donīt work... electrical cardioversion. (How many Joules??)
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Guillermo Ballarino
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