Why the study?
Atrial fibrillation is the most common emergency arrhythmia, and growing evidence suggests selected acute patients can be safely managed without hospitalization to minimize costs and unnecessary exposures.
Certain patients with acute atrial fibrillation can be safely managed in the emergency department without hospitalization.
May support selective ER discharge for acute AF; leaves open need for prospective validation before practice change.
Atrial fibrillation is the most common cardiac arrhythmia in emergency departments. There is growing evidence that certain patients with acute atrial fibrillation can be safely managed in the emergency room without the need for hospitalization, minimizing costs and reducing unnecessary exposures. This review addresses the emergency management of atrial fibrillation based on the latest updates on the subject with a focus on the assessment and prevention of thromboembolic phenomena, control of frequency x control of rhythm and strategies for cardioversion and restoration of sinus rhythm or for heart rate control.
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Magliari et al. (2020) studied this question.
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