Would you start an amiodarone load for new onset atrial fibrillation with RVR intermittently in normal sinus rhythm to further suppress AF recurrence in the acute setting?

Topics: Cardiology • Cardiac Electrophysiology • Atrial Fibrillation

Answer from: at Academic Institution

The answer to this question really depends on the clinical scenario. Does the patient have a structurally normal heart? Is this a post-op setting where the AF is expected to settle down with time? Age of patient? Co-morbidities? Candidacy for less toxic drugs or ablation? If this were a post-op pat...

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at Tanner Heart And Vascular Specialists Villa Rica
I agree with pretty much all of what Dr. @Lin wrot...

Answer from: at Community Practice

This is really a two-part question: Would you use amiodarone for acute pharmacologic conversion of new-onset afib? Routinely, I say NO. Would you continue amiodarone for the maintenance of rhythm control? Routinely, I say NO. For part 1), we can look back at the 2014 ACC AHA HRS Afib guidelines (...

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at University of Arizona College of Medicine
Since so many of our patients are elderly, I would...

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