Atrial fibrillation (AF) — rate control
- Goal: control ventricular rate + symptoms
- Beta blocker or diltiazem/verapamil first
- Avoid non-DHP CCBs in HFrEF
- Digoxin useful with HFrEF or low BP
- Resting HR target is individualized
- Persistent symptoms → consider rhythm control
Use at a glance
- Goal: control ventricular rate + symptoms
Practical pearls
- Beta blocker or diltiazem/verapamil first
- Resting HR target is individualized
- Persistent symptoms → consider rhythm control
Other practical pearls
- Digoxin useful with HFrEF or low BP
Safety / pitfalls
- Avoid non-DHP CCBs in HFrEF
Self-check
- What should generally be avoided in Atrial fibrillation (AF) — rate control?
non-DHP CCBs in HFrEF.
- What is the first management step in Atrial fibrillation (AF) — rate control?
Beta blocker or diltiazem/verapamil.
Drugs used for this (4)
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