Amiodarone for afib with rvr

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Actual: What are the considerations between choosing either diltiazem, metoprolol, or amiodarone, for Afib RVR/ Vtach rate control? Question. I kinda
4.3 rating 2025-04-24
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The following focuses on acute management of Afib with RVR and atrial flutter with RVR. Rate control vs. rhythm control. Onset ≥ 48

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Comparing AFib and AFib with RVR. Though atrial fibrillation and AFib with RVR share the same irregular heartbeat, they are distinct in their manifestations. While atrial fibrillation is marked by the atria quivering or fibrillating, atrial fibrillation with rapid ventricular response is a subtype of this condition which signifies a rapid heart

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Other symptoms of AFib with RVR may include dizziness, lack of energy, exercise intolerance and shortness of breath. If Afib with RVR goes on for too long then this may result in heart failure and of course worsening of existing heart failure. Control of the heart rate in patients with Afib with RVR often causes these symptoms to improve.

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If resolves, start PO of metoprolol or diltiazem, whichever broke the Afib RVR. Goal HR 110. If persistent, give amiodarone IV bolus 150mg and start amiodarone

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Afib RVR. Goal HR 110. If persistent, give amiodarone IV bolus 150mg and start amiodarone drip 1mg/min. Unstable atrial fibrillation with rapid ventricular

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Amiodarone can be used for both rate and rhythm control in AF. That is, it may slow the rate and/or convert afib to NSR. To slow afib with RVR

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Amiodarone can still lead to hypotension initially, especially when bolused; Afib with RVR is unlikely to be the cause of hypotension alone

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What is Afib with RVR? Some cases of Afib involve atrial fibrillation with rapid ventricular response (RVR). This is when the rapid contractions of the atria

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metoprolol or diltiazem, whichever broke the Afib RVR. Goal HR 110. If persistent, give amiodarone IV bolus 150mg and start amiodarone drip 1mg/min.

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