Fast Five Quiz: Clinical Management of Atrial Fibrillation

Sandeep K. Goyal, MD


April 02, 2020

Figure 1. Segment of an ECG showing atrial fibrillation, a rapid arrhythmia of the heart. It is the most common cardiac arrhythmia.

The management goals of patients with new-onset AF include rate control and anticoagulation, and rhythm control for patients who are symptomatic. The American Heart Association/American College of Cardiology/Heart Rhythm Society (AHA/ACC/HRS) and the European Society of Cardiology (ESC) clinical practice guidelines follow a similar classification scheme for AF and for rate control.

Although rate control is important to stabilizing patients with AF, restoring sinus rhythm can slow or reverse the atrial and ventricle remodeling that leads to atrial dilation and left ventricular dysfunction.

Although important, preventing acute MI and atherosclerosis and reducing DBP are not management goals for patients with new-onset AF.

Learn more about management goals for patients with new-onset AF.


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