The Curbsiders Internal Medicine Podcast #363 Afib: Rhythm Control, Catheter Ablation, Afib in the hospital, and Left Atrial Appendage Closure
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Oct 31, 2022 AI Snips
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Managing New-Onset Atrial Fibrillation
- Start by ordering tests (TFTs, EKG) and initiating anticoagulants and beta-blockers.
- Plan for cardioversion if highly symptomatic or after three weeks.
Evolving Approach to AFib Management
- Rate control and rhythm control have similar outcomes, especially in asymptomatic patients.
- Studies now link AFib to heart failure and dementia, favoring a rhythm control strategy.
Essential Tests and Risk Factor Modification
- Always order TFTs, a halter monitor, and an echocardiogram for new AFib diagnoses.
- Address weight issues and screen for sleep apnea as part of long-term sinus rhythm management.