The Intern At Work: Internal Medicine cover image

The Intern At Work: Internal Medicine

173. The Internist's Guide to Atrial Fibrillation (Repeat)

Nov 27, 2022
40:57

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Quick takeaways

  • Decision between rate and rhythm control in atrial fibrillation depends on stability and symptoms, with considerations for paroxysmal versus persistent AFib.
  • Pill-in-pocket approach combining antiarrhythmic drug with AV nodal blocker is beneficial for managing infrequent symptomatic AFib episodes effectively.

Deep dives

Management of Atrial Fibrillation by Electrophysiologists

Electrophysiologists play a critical role in managing patients with atrial fibrillation. They are involved in various aspects, including managing difficult AFib cases, advising on anticoagulation, and performing interventions like ablation for symptomatic AF. The decision between rate and rhythm control depends on the stability of AFib and the patient's symptoms, with considerations for paroxysmal versus persistent AFib.

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