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Acute management of atrial fibrillation

June 22, 2017 mfadmin Medicine

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Acute management of atrial fibrillation

Cardiovert if hemodynamically unstable or if Afib <48hrsIf AFib >48 hr or unknown and stable – TEE and anticoagulate for 3 weeks

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Previous Post:Atrial fibrillation basics,”Atrial rate is >400bpm but most impulses are blocked at AV node, so rate is between 75-175Causes can be from heart disease, pericarditis, pericardial trauma, pulmonary disease, hyper or hypothyroidism, systemic illness, stress, excessive ETOH, sick sinus syndrome, pheochromocytoma pulse ECG: irregular RR intervals and excessive series of tiny, erratic spikes

Next Post:Cardioversion vs defibrillation,”Cardioversion: in sync with QRS, used in AFib, atrial flutter, VT w/ a pulse, SVTDefibrillation: not in sync with QRS

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