How do you treat A Fib or A Flutter,”Hemodynamically stable?If no: CardioversionIf yes: Control rate with BB to 60-100Has the arrhythmia lasted > 48hrs?If no: CardioversionIf yes/maybe: Either TEE or begin 3 weeks of anticoagulationDoes TEE show a thrombus?If no: CardioversionIf yes: 3 week anticoagulationFollowup 3 week anticoagulation with cardioversionFollowup cardioversion with 4 weeks of anticoagulationIf chronic-Rate control if BB-If <60 without heart disease: Nothing

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How do you treat A Fib or A Flutter,”Hemodynamically stable?If no: CardioversionIf yes: Control rate with BB to 60-100Has the arrhythmia lasted > 48hrs?If no: CardioversionIf yes/maybe: Either TEE or begin 3 weeks of anticoagulationDoes TEE show a thrombus?If no: CardioversionIf yes: 3 week anticoagulationFollowup 3 week anticoagulation with cardioversionFollowup cardioversion with 4 weeks of anticoagulationIf chronic-Rate control if BB-If <60 without heart disease: Nothing otherwise warfarin”