Strategies for rate and rhythm control of atrial fibrillation in the ED.

Document Type

Article

Publication Date

8-1-2023

Publication Title

JAAPA : official journal of the American Academy of Physician Assistants

Keywords

california; burbank; psjmc

Abstract

Atrial fibrillation (AF) is one of the most common dysrhythmias managed in the ED and accounts for more than half a million visits a year in the United States. More than 6 out of 10 of these visits result in admissions. As the prevalence of AF has continued to increase in recent years, so has the presentation of patients with AF to the ED. For these reasons, clinicians in emergency settings must be knowledgeable of evidence-based rate and rhythm control strategies for stabilizing patients and preventing complications. This article discusses options, indications, contraindications, and safe implementation of rate and rhythm control strategies for ED clinicians. Recent studies have suggested that early rhythm control may benefit newly diagnosed patients, reducing stroke risk, cardiovascular deaths, and disease progression.

Clinical Institute

Cardiovascular (Heart)

Department

Cardiology

Department

Emergency Medicine

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