Key result
Review provides high-yield guidance on outpatient AAD management for AF in primary care.
Why the study?
With increasing evidence for early rhythm control in AF, outpatient management is challenging, and clinicians often remain hesitant to initiate and manage antiarrhythmic drugs due to drug interactions and proarrhythmia risks.
This review provides guidance for primary care clinicians on the initiation and chronic management of antiarrhythmic drugs for early rhythm control in outpatients with atrial fibrillation.
Answers are grounded in this paper and cite their sources.
Supports primary care AAD guidance for outpatient AF; leaves open prospective validation of safety and outcomes.
With burgeoning evidence for early rhythm control in patients with atrial fibrillation (AF), the management of AF in the outpatient setting has become more challenging. The primary care clinician often serves as the frontline in the pharmacologic management of AF. Because of drug interactions and the risk of proarrhythmia, many clinicians remain hesitant about the initiation and chronic management of antiarrhythmic drug prescriptions. However, with the likely increased use of antiarrhythmics for early rhythm control, understanding and familiarity with these medications have likewise become more important, especially since patients with AF probably have other non-cardiac medical conditions that can impact their antiarrhythmic therapy. In this comprehensive review, we provide informative, high-yield cases and edifying references that will help primary care providers become comfortable handling various clinical scenarios.
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Tseng et al. (2023) conducted a review in Atrial fibrillation. Antiarrhythmic drugs was evaluated. Antiarrhythmic drug management for atrial fibrillation in the outpatient setting is reviewed to provide primary care clinicians with high-yield cases and guidance on handling clinical scenarios.
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