By rray, 25 January, 2024 If hemodynamically unstable or poorly tolerated sx DC cardioversion If stable rate control w BB non DHP CCB target HR
By rray, 25 January, 2024 Refer for outpt f u for rhythm monitoring lifestyle and risk factor modification risk stratification for OAC initiation or continuation need for continued rhythm rate control
By rray, 25 January, 2024 Base decisions about anticoagulation on risk stratification of pt and comorbidities Consider timing bleeding risks and complexity of acute illness
By rray, 25 January, 2024 If AF in setting of sepsis benefits of anticoagulation during critical illness uncertain
By rray, 25 January, 2024 Individualize rate vs rhythm control to balance AF impact on hemodynamics vs ability to tolerate tx
By rray, 25 January, 2024 If hemodynamically unstable due to AF DC cardioversion If stable then rate and or rhythm control Treat underlying illness Detect and treat potential triggers optimize hemodynamics assess risks benefits of anticoagulation Counsel about risks of recurrent A
By rray, 25 January, 2024 Program initial pacemaker lower rate to 80 90 bpm to reduce risk of sudden death
By rray, 25 January, 2024 Implant pacemaker before or same day as ablation to ensure adequacy of pacing leads prior to ablation