Atrial Fibrillation Rate vs Rhythm Control Algorithm
Note: This document provides a structured summary of the Atrial Fibrillation Rate vs Rhythm Control Algorithm for educational and reference purposes. It is not a substitute for certified ACLS training and adherence to the latest guidelines published by the American Heart Association (AHA) or other relevant governing bodies. Always consult the most current official guidelines.
Irregularly irregular rhythm, no distinct P waves on ECG.
Look for hypotension, altered mental status, shock, chest pain, heart failure related to fast rate.
Prepare for cardioversion, sedation. Energy levels vary (usually start higher for A-fib).
Consider symptoms, duration of A-fib, structural heart disease, patient preference.
Medications: Beta-blockers, Calcium Channel Blockers (non-dihydropyridine). Digoxin (if heart failure).
Pharmacologic or electrical cardioversion. Antiarrhythmic medications (Amiodarone, Dofetilide, Sotalol, etc.). Catheter ablation.
Calculate score. Initiate anticoagulation based on risk (NOACs preferred over Warfarin for most).
Thyroid dysfunction, alcohol, infection, sleep apnea, heart failure, hypertension.
Monitor rhythm/rate, adjust medications, manage risk factors, patient education.
