Acute-Onset Atrial Fibrillation: Questions

1. What is your approach to managing a patient with new-onset (e.g., within the last 24 hours) atrial fibrillation?  Which patients do you cardiovert? Does your management algorithm differ for patients with new-onset atrial fibrillation with rapid ventricular rate (RVR)?

2. If you decide to cardiovert a patient, do you prefer to use chemical or electrical cardioversion? Do you take a sequenced approach? Which agents do you prefer for chemical cardioversion?

3. Which patients do you choose to anticoagulate? What approach do you take to anticoagulation?

4: Which patients with new onset afib do you admit and which do you discharge?  If the patient is successfully cardioverted, do you admit or discharge?  If you discharge them, do you prescribe them any anti-arrhythmic agents?

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3 Responses to Acute-Onset Atrial Fibrillation: Questions

  1. Caroline says:

    Were answers published for these acute AF questions. I seem unable to find.
    Many thanks for this excellent site.

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