How to Manage Atrial Fibrillation in the Emergency Department: a Critical Appraisal

Atrial fibrillation is the most common cardiac arrhythmia in emergency departments. There is growing evidence that certain patients with acute atrial fibrillation can be safely managed in the emergency room without the need for hospitalization, minimizing costs and reducing unnecessary exposures. Th...

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Bibliographic Details
Published in:Journal of cardiac arrhythmias 2020-06, Vol.33 (1), p.55
Main Authors: Rafael Thiesen Magliari, José Nunes de Alencar Neto
Format: Article
Language:English
Subjects:
Cardiac arrhythmia
Cardiovascular disease
Cardioversion
Chronic obstructive pulmonary disease
Classification
Dyspnea
Emergency medical care
Heart rate
Mortality
Obesity
Patients
Prevention
Risk factors
Thromboembolism
Weight control
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Summary:Atrial fibrillation is the most common cardiac arrhythmia in emergency departments. There is growing evidence that certain patients with acute atrial fibrillation can be safely managed in the emergency room without the need for hospitalization, minimizing costs and reducing unnecessary exposures. This review addresses the emergency management of atrial fibrillation based on the latest updates on the subject with a focus on the assessment and prevention of thromboembolic phenomena, control of frequency x control of rhythm and strategies for cardioversion and restoration of sinus rhythm or for heart rate control.
ISSN:2674-7081
2674-7472
DOI:10.24207/jca.v33i1.3390