By rray, 25 January, 2024 If no prior MI or structural heart dz flecainide or propafenone if no HFrEF dronedarone Low dose amiodarone 2nd line
By rray, 25 January, 2024 If not candidate for ablation prescribe meds for long term maintenance of SR Consider medical hx and drug drug interactions for choice Options include
By rray, 25 January, 2024 Complications include LA esophageal fistula perforation w tamponade CVA TIA PV stenosis phrenic nerve paralysis vasc access complications death pneumonia
By rray, 25 January, 2024 1st line tx for paroxysmal AF in younger pts w few comorbidities to reduce progression to persistent AF Consider in others First line for paroxysmal AF or persistent AF w o major risk factors for recurrence 1
By rray, 25 January, 2024 Useful if antiarrhythmic meds ineffective contraindicated not tolerated and in those w symptomatic clinically significant AFL ESC recommends ablation after 1 failed not tolerated BB tx 1
By rray, 25 January, 2024 Once converted consider catheter ablation in appropriate pts Ablation is more effective than antiarrhythmic drugs for persistent and paroxysmal AF
By rray, 25 January, 2024 Pill in the pocket strategy reasonable for select pts nbsp nbsp Test 1st as inpt trial w monitoring nbsp nbsp Give BB non DHP CCB PO 30min prior to single PO dose of flecainide or propafenone