I started this morning innocently reading a recent blog post by the St Emlyn's Team with the intention of screening large numbers of recent blog posts as part of my weekly CPD update. Low and behold, it is 5pm and I am still stuck on this one post and topic: ATRIAL FIBRILLATION. I should have known reading something about AF would not be a simple task! I am sure I am not the only person who feels a little overwhelmed from time to time when faced with decision making in the management of AF. I guess it is because it does not fit in a neat box of a single answer for every event. I thought I would summarise a few key points I have reviewed today: 1. Definitions
2. Aim of treatment
3. Priorities
4. Management RATE CONTROL vs RHYTHM control
MEDICATIONS FOR RATE CONTROL NICE: Offer a beta-blocker or a rate-limiting calcium-channel blocker (diltiazem [off-label use] or verapamil). The choice between a beta-blocker and a calcium-channel blocker will depend largely on the person's comorbidities.
IS TROPONIN NECESSARY FOR ALL ACUTE AF PATIENTS IN THE ED?
AF WITH WIDE QRS
References
NBothma
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The Derrifoam BlogWelcome to the Derrifoam blog - interesting pictures, numbers, pitfalls and learning points from the last few weeks. Qualityish CPD made quick and easy..... Archives
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