Key result
Management of atrial fibrillation involves rate or rhythm control, with rhythm control offering no survival advantage over rate control, and non-pharmacological therapies reserved for refractory cases.
Provides a general overview of atrial fibrillation management, including cardioversion and maintenance of sinus rhythm.
Rate control remains first-line for most AF; confirms consensus and leaves open refinements for refractory cases.
Chemical or electrical cardioversion of atrial fibrillation is attempted when spontaneous conversion to sinus rhythm does not occur. Sinus rhythm following cardioversion should be maintained with antiarrhythmic drugs. Non-pharmacological methods are reserved for highly symptomatic patients not controlled by, or intolerant of, medications.
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Samir Alchaghouri (2004) conducted a review in Atrial fibrillation. Atrial fibrillation management strategies was evaluated. Management of atrial fibrillation involves rate or rhythm control, with rhythm control offering no survival advantage over rate control, and non-pharmacological therapies reserved for refractory cases.
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