Document Detail


Management of atrial fibrillation in the emergency department.
MedLine Citation:
PMID:  12680985     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Abstract Atrial fibrillation (AF) is the most common sustained cardiac arrhythmia and is a frequent cause for presentation to the emergency department. With an understanding of the pathophysiology and types of AF, efficient and effective management strategies for AF can be formulated. Patients with paroxysmal AF will often revert spontaneously and can initially be managed on an outpatient basis, unless an antiarrhythmic is commenced. In patients with AF and severe underlying heart disease, the management is primarily directed at the underlying heart disease, supplemented with rate-controlling measures, and prevention of thromboembolic complications. In patients with persistent AF good rate control, early cardioversion and initiation of an antiarrhythmic are likely to reduce the risk of recurrence.
Authors:
I Crozier; I Melton; S Pearson
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Internal medicine journal     Volume:  33     ISSN:  1444-0903     ISO Abbreviation:  Intern Med J     Publication Date:  2003 Apr 
Date Detail:
Created Date:  2003-04-08     Completed Date:  2003-09-16     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  101092952     Medline TA:  Intern Med J     Country:  Australia    
Other Details:
Languages:  eng     Pagination:  182-5     Citation Subset:  IM    
Affiliation:
Department of Cardiology, Christchurch Public Hospital, Christchurch, New Zealand. ian.crozier@cdhb.govt.nz
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MeSH Terms
Descriptor/Qualifier:
Anti-Arrhythmia Agents / therapeutic use*
Atrial Fibrillation / prevention & control,  therapy*
Clinical Trials as Topic
Electric Countershock / methods
Electrocardiography
Emergency Service, Hospital
Humans
Recurrence / prevention & control
Thromboembolism / prevention & control
Chemical
Reg. No./Substance:
0/Anti-Arrhythmia Agents

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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