Atrial fibrillation urgent treatment

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

Patients with hemodynamic instability should undergo DC cardioversion and treatment with parenteral agents to slow the heart rate down.

DC Cardioversion

The following scenarios warrant urgent DC cardioversion:

• The presence of cardiogenic shock or hypotension
• Decompensated heart failure
• Refractory ischemia, ischemic EKG changes