Atrial fibrillation, part 1: Ventricular rate control and cardioversion

J. V. Jayachandran, J. E. Olgin, D. P. Zipes

Research output: Contribution to journalArticle

Abstract

The primary goals of therapy for atrial fibrillation (AF) are improvement of hemodynamic status and symptoms and prevention of thromboembolism. Two treatment strategies are ventricular rate control with acceptance of chronic AF and cardioversion followed by attempted long-term maintenance of sinus rhythm. Urgent ventricular rate control can be achieved with intravenous digoxin, β-blockers, or calcium channel blockers. The same agents given orally are used for long-term rate control. Class IA, IC, and III antiarrhythmic drugs are usually effective for urgent conversion of AF to sinus rhythm. Perform direct-current cardioversion when pharmacologic conversion fails or the patient is hemodynamically unstable.

Original languageEnglish
Pages (from-to)138-144
Number of pages7
JournalJournal of Critical Illness
Volume14
Issue number3
StatePublished - 1999

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Electric Countershock
Atrial Fibrillation
Anti-Arrhythmia Agents
Thromboembolism
Digoxin
Calcium Channel Blockers
Hemodynamics
Therapeutics

ASJC Scopus subject areas

  • Critical Care and Intensive Care Medicine

Cite this

Jayachandran, J. V., Olgin, J. E., & Zipes, D. P. (1999). Atrial fibrillation, part 1: Ventricular rate control and cardioversion. Journal of Critical Illness, 14(3), 138-144.

Atrial fibrillation, part 1 : Ventricular rate control and cardioversion. / Jayachandran, J. V.; Olgin, J. E.; Zipes, D. P.

In: Journal of Critical Illness, Vol. 14, No. 3, 1999, p. 138-144.

Research output: Contribution to journalArticle

Jayachandran, JV, Olgin, JE & Zipes, DP 1999, 'Atrial fibrillation, part 1: Ventricular rate control and cardioversion', Journal of Critical Illness, vol. 14, no. 3, pp. 138-144.
Jayachandran, J. V. ; Olgin, J. E. ; Zipes, D. P. / Atrial fibrillation, part 1 : Ventricular rate control and cardioversion. In: Journal of Critical Illness. 1999 ; Vol. 14, No. 3. pp. 138-144.
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