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FACP. Colegio de médicos de Tarragona Nº 4305520 / fgcapriles@gmail.com

WORLD EMERGENCY MEDICINE SOCIETIES & RELATED

EMERGENCY MEDICINE DAY: May 27

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miércoles, 4 de mayo de 2016

AF: do´s and don´ts

emDocs - May 3, 2016 -Author: Cassella C - Edited by: Koyfman A and Long B
Screen Shot 2016-05-02 at 5.52.04 AM
"Summary
  • Do
    • Reverse/treat any underlying process (remember PIRATES)
    • Use β1-selective BBs or non-dihydropyridine CCBs in rapid AF
    • Use BB in patients with concurrent hyperthyroid
    • Use CHA2DS2-VASc to risk stratify for stroke
  • Don’t
    • Mix BB and CCB (if possible)
    • Use a BB in severe asthma
    • Use a CCB in decompensated HF
    • Cardiovert stable AF with duration >48h or unknown duration if the patient isn’t on anticoagulation"