2. hemodynamically stable= a.)first rate control= digoxin/beta blockers/CCBS anyone of above dep on pt profile and assoc features b.) then rhythm control (chemical cardioversion)= ibulitide
3.) atrial fibrillation present for more than 48 hrs , first anticoagulate then cardiovert. if cardioversion urgent r/o clot with a TEE
4.) atrial fibrillation as the lone symptom in a young pt with absolutely no other personal history or family history of CAD, HT ot other CVS risks then aspirin alone. Edited by dr_arc on 08/07/07 - 11:17 PM
cirus Forum Guru
Topics: 108 Posts: 740
08/07/07 - 03:19 PM
#4
Thnx
doyoudig Forum Guru
Topics: 144 Posts: 613
08/07/07 - 05:57 PM
#5
dr arc, I think u mean Rate Control 1st - BB, CCB and Dig prefferd in Pts w/ CHF of LV dysfunction i.e. low EF
Sinus Rhtym control is w/ antiarrymt as u said Ilbutlitlde.....
doyoudig Forum Guru
Topics: 144 Posts: 613
08/07/07 - 06:00 PM
#6
In Gnereal any pt that is hemody unstable -sedate 1st than DC
< 48 - control rate 1st
> 48 - Control rate 1st along with anticoag - Rhym control if needed ----either TEE to r/o clot, if negative Antiarrh (chemical conversion) ----If TEE not done antivcog 3-4 weeks prior to chemical conversion and anticoag afterwards as well
dr_arc Forum Senior
Topics: 5 Posts: 156
08/07/07 - 11:16 PM
#7
doyoudig wrote: dr arc, I think u mean Rate Control 1st - BB, CCB and Dig prefferd in Pts w/ CHF of LV dysfunction i.e. low EF
Sinus Rhtym control is w/ antiarrymt as u said Ilbutlitlde.....
yeah you are right. that was an unitentional typo. will edit it rt away to avoid confusion.thanks for pointing it out.
, anyone??
