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Newly discovered AF
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
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Paroxysmal
 
 
 
 
 
 
 
Persistent
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Look for the presence of one of these severe symptoms
Hypotension
Heart failure
Angina pectoris

Severe symptoms absent:
No therapy needed


Severe symptoms present:

Attempt direct-current cardioversion
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
Anticoagulation as needed based on the risk of stroke
Click #REDIRECThere for the risk of stroke and anticoagulation therapy
Recommended in all cases except lone AF (I A)
Reassess need for anticoagulation at periodic intervals