Archive

Tag: Atrial Fibrillation

RAFF2: Electrical vs Pharmacological Cardioversion for ED Patients with Acute Atrial Fibrillation

Background: Acute atrial fibrillation (AF) is one of the most common dysrhythmias seen in the emergency department (ED). There has been extensive discussion and debate about the best way to manage acute AF centered around rate and rhythm control.  However, ...

Read More
Cardiovascular

Comparison of Chemical vs Electrical Cardioversion of Acute Uncomplicated Atrial Fibrillation

Background Information: Atrial fibrillation is the most commonly encountered dysrhythmia in the emergency department (ED) and is associated with an increased long-term risk of stroke, heart-failure and all-cause mortality.1,2 In fact, the overall mortality rate for patients with atrial fibrillation is ...

Read More
Cardiovascular

AFib: Wait-and-See or Early Cardioversion to Obtain Normal Sinus Rhythm?

Background: Atrial fibrillation (AF) is a common cardiac dysrhythmia encountered in the emergency department (ED), affecting 2.7 million – 6.1 million Americans annually. Hospitalizations with AF as the primary diagnosis total >467,000 annually. AF is associated with a 5-fold increased risk ...

Read More
Cardiovascular

LOMAGHI Trial: Magnesium Sulfate for Rapid Atrial Fibrillation?

Background: Currently, several medications are recommended for the management of atrial fibrillation with rapid ventricular response in the emergency department including calcium channel blockers, beta blockers and digoxin (the optimal choice is still up for debate). Magnesium sulfate may play a role ...

Read More
Cardiovascular

The BEST AF Trial: What is the Optimal Energy Selection for Cardioversion in Patients with Afib?

Background:There are two trains of thought in using transthoracic direct current cardioversion (DCCV) when it comes to converting atrial fibrillation.  The first is an escalating energy approach which allows cardioversion to occur at the lowest energy for each individual patient ...

Read More
Cardiovascular

Sponsored