PO of metoprolol or diltiazem, whichever broke the Afib RVR. Goal HR 110. If persistent, give amiodarone IV bolus 150mg and start amiodarone drip 1mg/min.
▫ Amiodarone. ▫ Sotalol. ▫ Flecainide/Propafenone. ▫ Dronedarone ▫ Usually AFIB with RVR reflects enhanced sympathetic tone from underlying.
If resolves, start PO of metoprolol or diltiazem, whichever broke the Afib RVR. Goal HR 110. If persistent, give amiodarone IV bolus 150mg and start amiodarone drip 1mg/min. Unstable atrial fibrillation with rapid ventricular response (unstable Afib with RVR): proceed directly to synched cardioversion; Chest Pain/Acute Coronary Syndrome
Amiodarone can still lead to hypotension initially, especially when bolused; Afib with RVR is unlikely to be the cause of hypotension alone
We go over the treatment of rapid atrial fibrillation (afib with RVR). Hosts: Brian Gilberti, MD Amiodarone: Bolus and drip approach, slow AV nodal without
metoprolol or diltiazem, whichever broke the Afib RVR. Goal HR 110. If persistent, give amiodarone IV bolus 150mg and start amiodarone drip 1mg/min.
If resolves, start PO of metoprolol or diltiazem, whichever broke the Afib RVR. Goal HR 110. If persistent, give amiodarone IV bolus 150mg and start amiodarone
metoprolol or diltiazem, whichever broke the Afib RVR. Goal HR 110. If persistent, give amiodarone IV bolus 150mg and start amiodarone drip 1mg/min.
Some cases of Afib involve atrial fibrillation with rapid ventricular response (RVR). amiodarone; dofetilide; dronedarone; flecainide; propafenone
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