BMJ clinical evidence looks at this review of treatment of Acute onset of AF. THey used these three clinical questions in pateints with hemodynamically stable acute AF.
- What are the effects of intervention to prevent embolism in recent onset AF?
- What are the effects of interventions for conversion to sinus rhythm in recent onset AF?
- What are the effects of interventions to control rate in recent onset AF?
Answers are here.
What are the effects of interventions to prevent embolism in people with recent-onset atrial fibrillation who are haemodynamically stable?
Unknown effectiveness
* Antithrombotic treatment before cardioversion
What are the effects of interventions to control heart rate in people with recent-onset atrial fibrillation who are haemodynamically stable?
Likely to be beneficial
* Amiodarone for rate control
* Digoxin for rate control
* Diltiazem for rate control
* Timolol for rate control
* Verapamil for rate control
Unknown effectiveness
* Sotalol for rate control
What are the effects of interventions for conversion to sinus rhythm in people with recent-onset atrial fibrillation who are haemodynamically stable?
Trade off between benefits and harms
* Amiodarone for rhythm control
* Flecainide for rhythm control
* Propafenone for rhythm control
Unknown effectiveness
* Direct current cardioversion for rhythm control *
* Quinidine for rhythm control
* Sotalol for rhythm control
* Verapamil for rhythm control
Unlikely to be beneficial
* Digoxin for rhythm control
0 comments:
Post a Comment