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
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Individualize rate vs rhythm control to balance AF impact on hemodynamics vs ability to tolerate tx
If AF in setting of sepsis benefits of anticoagulation during critical illness uncertain
Base decisions about anticoagulation on risk stratification of pt and comorbidities Consider timing bleeding risks and complexity of acute illness
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
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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 AF.