AF: do´s and don´ts

MANAGEMENT OF ATRIAL FIBRILLATION: DO’S AND DON’TS

emDocs - May 3, 2016 -Author: Cassella C - Edited by: Koyfman A and Long B

"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"