If resolves, start PO of metoprolol or diltiazem, whichever broke the Afib RVR. valsartan); spironolactone (specific situations), isosorbide dinitrate
Diltiazem vs Metoprolol for Afib w/ RVR? via @EMSwami FOAMed.
Afib with RVR can lead to impairment of cardiac output and hemodynamic instability due to shortened ventricular filling time and increased
For many ED physicians, diltiazem has become the preferred agent to achieve rate control of AFIB with rapid ventricular rate (AFIB-RVR). Diltiazem is effective in treating AFIB-RVR by slowing conduction through the atrioventricular node (AV) and by prolonging AV node refractoriness.
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
What are the considerations between choosing either diltiazem, metoprolol, or amiodarone, for Afib RVR/ Vtach rate control? Question. I kinda
2024. TLDR. Prehospital diltiazem administration for AFIB with RVR is safe and Amiodarone appears to be safe and effective in the termination of atrial
Amiodarone can still lead to hypotension initially, especially when bolused; Afib with RVR is unlikely to be the cause of hypotension alone
In fact this evening the patient's telemetry after starting the latest amiodarone drip showed afib rvr with a rate of s, appeared to
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Keep them coming 😊
BTW. Standalone CHF taking down an otherwise healty person like that??? No afib, no obesity, no alcoholism, no bundle blockage or left side failure??