Episode 191: Rapid Atrial Fibrillation - podcast episode cover

Episode 191: Rapid Atrial Fibrillation

Dec 01, 2023Ep. 191
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Episode description

We go over the treatment of rapid atrial fibrillation (afib with RVR).

Hosts:
Brian Gilberti, MD
Jonathan Kobles, MD

Download One Comment Tags: Cardiology Show Notes

Understanding AF with RVR Categories

  • General AF with RVR: Definition and basic understanding.
  • Rapid AF with Pre-excitation: Characteristics and complications.
  • Chronic AF in Critical Illness: Identification and special considerations.

Stability Assessment in AF with RVR

  • ACLS Protocols: Distinction between unstable and stable patients.
    • Unstable Patients: Immediate need for synchronized cardioversion, standard dose at 200 J for adults.
    • Stable Patients: Rate vs. rhythm control strategies, consideration of underlying etiology.
  • Limitations in Chronic AF: Challenges in patients with AF secondary to critical illness.

ACLS Guidelines and ECG Findings

  • Tachycardia with a Pulse Approach: Initial assessment guidelines.
  • ECG Interpretation:
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    Episode 191: Rapid Atrial Fibrillation | Core EM - Emergency Medicine Podcast - Listen or read transcript on Metacast