Key result
Atrial fibrillation in ICU patients is associated with a two- to fivefold increase in mortality, requiring rapid synchronized electrical cardioversion in hemodynamically unstable patients.
Population
Critically ill ICU patients with atrial fibrillation, particularly those with haemodynamic instability
Design
Review
Authors
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Associated mortality risk supports urgent cardioversion in unstable ICU AF; leaves open optimal pharmacologic strategies pending RCTs.
This review highlights the critical need for rapid electrical cardioversion in haemodynamically unstable ICU patients with atrial fibrillation and outlines the specific advantages and risks of various pharmacological therapies in this setting.
Arrigo et al. (2014) conducted a review in Atrial fibrillation in critically ill patients. Management of Atrial Fibrillation was evaluated. Atrial fibrillation in ICU patients is associated with a two- to fivefold increase in mortality, requiring rapid synchronized electrical cardioversion in hemodynamically unstable patients.
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