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Showing posts with label cardioversion. Show all posts
Showing posts with label cardioversion. Show all posts

Management of atrial fibrillation (AF)

Atrial fibrillation. The tracing demonstrates the absence of P waves (long arrow), as well as the presence of the fine f waves of atrial fibrillation (short arrows). Note the irregularity of the ventricular response, as seen from the variable R-R interval (brackets). [Source]
Common cardiac and non-cardiac causes of aftial fibrillation.

It is not always possible to restore and maintain sinus rhythm in patients with AF.

If sinus rhythm cannot be maintained, treatment should be directed towards controlling the heart rate with
  • digoxin, 
  • ß-blockers, 
  • rate-limiting calcium-channel blockers (verapamil or diltiazem) or 
  • amiodarone.