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Atrial Fibrillation Acute Management
- See Also
- Hemodynamically Unstable
- Criteria
- Rapid Heart Rate over 150 beats per minute
- Symptoms or signs of cardiovascular compromise
- Angina Pectoris
- Acute Myocardial Infarction
- Hypotension
- Congestive Heart Failure
- Shortness of Breath
- Decreased Level of Consciousness
- Pulmonary edema
- Atrial Fibrillation Cardioversion
- Consider Adenosine 6-12 mg rapid IV (if no delay)
- Synchronized Shock: 100, 200, 300, 360 Joules
- Atrial Fibrillation Anticoagulation
- Coumadin for 2-3 weeks after conversion
- Criteria
- Hemodynamically Stable
- See Atrial Fibrillation Rate Control
- Atrial Fibrillation Cardioversion to sinus rhythm
- Atrial Fibrillation less than 48 hours
- Consider Heparin while considering cardioversion
- Consider early Atrial Fibrillation Cardioversion
- Atrial Fibrillation more than 48 hours
- Coumadin for 3 weeks before cardioversion
- Consider Atrial Fibrillation Cardioversion
- Continue Coumadin for 4 weeks after cardioversion
- Early cardioversion ok if cleared with TEE first
- Atrial Fibrillation less than 48 hours
- References
