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
- Which AF rate-control drugs are avoided in HFrEF?
Non-DHP calcium-channel blockers. - What is first-line for AF rate control?
Beta blocker or diltiazem/verapamil.
Drugs used for this (4)
All clinical uses · Open Atrial fibrillation (AF) — rate control in the interactive console ↗