When Patients Be Fibbin'
When Patients Be Fibbin'
Sept. 4, 2024
Atrial fibrillation can be a tricky thing to manage in the ED. Sometimes it is not always clear if you should treat it, how you should treat it, or if it's even safe to treat. In this episode, Ray Isenburg, DO, and host Will Smith, MD, discuss the basics of AFib.
Host
Will Smith, MD
Emergency physician in Northern California
Graduate, Nuvance Health/Vassar Brothers Medical Center Residency
@WTSmithMD | wtsmithmd
EMRA*Cast Episodes
OVERVIEW
Atrial fibrillation can be a tricky thing to manage in the ED. Sometimes it is not always clear if you should treat it, how you should treat it, or if it’s even safe to treat. In this episode, Ray Isenburg and host Will Smith discuss the basics of AFib, how to treat it (both chemically and/or electrically), when is it safe to treat, and how to determine if this is something worth treating or if there is other pathology occurring that, once resolved, will resolve the heart rhythm.
Key Studies
- Rhythm control has no survival advantage over rate control
- No obvious advantage taking patient out of AFib
- Rate control is not inferior to rhythm control in preventing morbidity and mortality
- No survival advantage in rhythm control
Additional Literature
