A-FIB Flashcards
1
Q
A-fib treatment options
A
- Procedures: cardioversion or ablation
* Pharmacologic therapy
2
Q
New Onset A-fib hemodynamically unstable.. Do what?
A
Direct Cardiac Compression (DCC)
3
Q
New Onset A-fib hemodynamically stable.. Do what?
A
Focus on ventricular rate control dependent on
the patients’ LV function.
– Beta blockers – Calcium channel blockers – Digoxin – Amiodarone
4
Q
How to control Rapid Ventricular Response?
A
• Beta blockers (Class II AA)
– Metoprolol tartrate 12.5 to 100mg bid – Propanolol 80-120 mg bid
5
Q
Often used to control ventricular rate in A-fib?
A
CCBs– diltiazem (Cardizem) – verapamil (Calan, Isoptin)
6
Q
What to use to restore Sinus Rhythm?
A
Class Ia, Ic, III –> avoid Dig and sotolol
7
Q
What to use to maintain Sinus Rhythm?
A
- Propafenone(Rhythmol) IC
- Sotolol (Betapace)III
- Procainamide (IA) • quinidine (Quinidex)IA
