Palpitation (rapid irregular rhythm)
Weakness, faint, breathlessness
May present with signs and symptoms of systemic embolism
ECG
Use heparin (short term) or warfarin (for long term)
When using warfarin, target INR range = 2~3
If the patient has sustained non-valvular AF but without any of the following risk factors
---> Use aspirin instead of warfarin/heparin (reduced benefit but much reduced risk of side effect)
Anticoagulation therapy with heparin or warfarin should start before elective cardioversion (unless AF is <24 hours in duration)
Sotalol (?III, also a beta-blocker) OR
Fecainide (Ic) OR
Amiodarone (III)
If drug conversion fails, try synchronized electrical cardioversion.
[epidemilogy/risk factors/
causes/mechanisms/compications/ddx/
classification/staging/
followups/prognosis/prognostic factors/prevention]
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Created | 20031025 |
Updated | 20031025 |