SCCM Resource Library-Upstairs Downstairs: New-Onset Atrial Fibrillation: Comparing Therapeutic Treatment Strategies Between the ICU and the Emergency Department

Upstairs Downstairs: New-Onset Atrial Fibrillation: Comparing Therapeutic Treatment Strategies Between the ICU and the Emergency Department

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Video Transcription

Video Summary

Dr. Bennett discusses the management of atrial fibrillation (AF) in the emergency department (ED) and ICU. He emphasizes the importance of addressing the underlying cause of AF while also considering rate control and rhythm control strategies. In terms of rate control, he suggests considering a heart rate control strategy first in most cases, especially if the patient's heart rate is higher than expected based on their acute illness. He discusses the use of beta blockers and calcium channel blockers as initial treatment options for rate control, with beta blockers showing some evidence of better outcomes. In regards to rhythm control, he mentions the use of magnesium infusion and amiodarone. Dr. Bennett also highlights the need to identify and address reversible factors that may contribute to AF, such as electrolyte imbalances, volume status, infection/sepsis, and beta agonists. He concludes by emphasizing the importance of follow-up care for patients with new onset AF and the need for shared decision-making regarding long-term anticoagulation.

Asset Subtitle

Cardiovascular, 2023

Asset Caption

Type: one-hour concurrent | Atrial Fibrillation: Comparing Current, Evidence-Based Management Considerations (SessionID 1202603)

Meta Tag

Content Type Presentation

Knowledge Area Cardiovascular

Membership Level Professional

Membership Level Select

Tag Atrial Fibrillation

Year 2023

Keywords

atrial fibrillation

emergency department

rate control

rhythm control

beta blockers

follow-up care

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