By rray, 25 January, 2024 If stable and rate control preferred BBs or non DHP CCBs verapamil diltiazem if EF 40 preferred meds
By rray, 25 January, 2024 procainamide 1 g IV over 30min then 2 mg min over 1h Less effective than ibutilide AEs granulocytosis AV block HFrEF exacerbation hypotension neutropenia QT prolongation rash thrombocytopenia TdP Avoid if initially treated w amiodarone or ibutilide Consid
By rray, 25 January, 2024 amiodarone 5 7 mg kg or 300 mg then 1200 3000 mg IV over 24h Slow onset 8 12h AEs bradycardia hypotension QT prolongation phlebitis TdP May use if LVEF 40
By rray, 24 January, 2024 If BBs CCBs contraindicated not tolerated or not preferred digoxin is option Target digoxin level