WORLD EMERGENCY MEDICINE SOCIETIES & RELATED

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Saturday, September 21, 2019

AF: CHEMICAL VS. ELECTRICAL

SGEM#267:  - Posted by admin - Sep 21, 2019 
"CLINICAL QUESTION: 
IN EMERGENCY DEPARTMENT PATIENTS WITH ATRIAL FIBRILLATION, IS SINUS RHYTHM ACHIEVED MORE RAPIDLY WITH ELECTRICAL-FIRST RHYTHM CONTROL WHEN COMPARED WITH CHEMICAL-FIRST RHYTHM CONTROL?
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1/3 OF PATIENTS WERE DISCHARGED IN FOUR HOURS WITH CHEMICAL-FIRST GROUP COMPARED TO 2/3 IN THE ELECTRICAL-FIRST GROUP.
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SGEM BOTTOM LINE: 
CONSIDER IMPLEMENTING AN ELECTRICAL-FIRST RHYTHM CONTROL STRATEGY FOR LOW RISK PATIENTS WITH ATRIAL FIBRILLATION."