Atrial fibrillation (AF) — rhythm control
- Rhythm control for symptoms/early AF strategy
- Unstable AF → urgent synchronized cardioversion
- Drug choice depends on structural heart disease
- Flecainide/propafenone if no major SHD/CAD
- Dofetilide/amiodarone options with HFrEF
- Catheter ablation is often considered early
Use at a glance
- Rhythm control for symptoms/early AF strategy
Practical pearls
- Catheter ablation is often considered early
Choosing treatment
- Drug choice depends on structural heart disease
- Flecainide/propafenone if no major SHD/CAD
- Dofetilide/amiodarone options with HFrEF
Other practical pearls
- Unstable AF → urgent synchronized cardioversion
Self-check
- How is unstable AF treated?
Urgent synchronized cardioversion. - What limits flecainide/propafenone selection in AF?
Major structural heart disease or CAD.
Drugs used for this (5)
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