
#150 Rhythm Control in Afib: 5 Pearls Segment
Core IM | Internal Medicine Podcast
Maintaining Sinus Rhythm after Cardioversion
Maintaining sinus rhythm post-electrocardioversion provides valuable prognostic information. Patients who relapse into AFib shortly after may require ablation and additional medications, while those who successfully sustain sinus rhythm may benefit from medication or ablation to uphold the rhythm. Prior to cardioversion, ensuring patients are adequately anticoagulated is crucial as mechanical-electrical dissociation can pose a high stroke risk even if in sinus rhythm. Keeping patients in sinus rhythm is crucial, as it can offer significant clinical benefits and motivate healthcare providers to explore various treatment options.
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