In this paper we focus on strategies to bypass the most common pitfalls in our treatment algorithm when treating patients who present to the ED in atrial fibrillation with RVR.

We all know the few medications in our toolbox that we can use to generally control the rate, but what if a wrench is thrown in our pathway?

Are there certain medications to be used in specific instances?

How are we defining an unstable patient?

How much of the atrial fibrillation is contributing to the patient’s instability?

We asked Sean Hickey, MD, Assistant Professor of Anesthesia and Emergency Medicine at Kick School of Medicine/USC, and Mark Andreae, MD, Assistant Professor of Emergency Medicine and Critical Care at Mount Sinai, how they approach the most common roadblocks when treating patients in AFib with RVR.

Read More