Core IM | Internal Medicine Podcast
#150 Rhythm Control in Afib: 5 Pearls Segment
Apr 24, 2024
Learn about the benefits of rhythm control in atrial fibrillation, the use of electrical cardioversion, side effects of antiarrhythmics, and when catheter ablation should be considered. Explore the nuances of treating AFib patients with class III and class Ic antiarrhythmics, and understand the importance of tailoring treatment approaches to individual patient responses.
40:08
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Quick takeaways
- Starting new AFib patients on rhythm control early improves outcomes and mortality rates.
- Class III antiarrhythmics can cause conversion pauses and QTC prolongation; catheter ablation is recommended as a first-line treatment.
Deep dives
Rhythm Control for AFib Patients
Starting new AFib patients on rhythm control, even within a year of diagnosis, is recommended to improve outcomes and mortality rates. Studies like the AF and the Stop AF trials show that ablation can be effective from the beginning.
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