Can we safely use a wait and see approach for patients with recent onset atrial fibrillation?
نویسندگان
چکیده
منابع مشابه
Managing emergency department patients with recent-onset atrial fibrillation.
BACKGROUND The management of emergency department (ED) patients with presumed recent-onset atrial fibrillation or flutter≤48h in duration varies widely. OBJECTIVE AND METHOD We conducted a prospective study across three affiliated community EDs within a large integrated health care delivery system to describe the management of patients with recent-onset atrial fibrillation or flutter, to dete...
متن کاملAcute cardioversion vs a wait-and-see approach for recent-onset symptomatic atrial fibrillation in the emergency department: Rationale and design of the randomized ACWAS trial.
BACKGROUND Current standard of care for patients with recent-onset atrial fibrillation (AF) in the emergency department aims at urgent restoration of sinus rhythm, although paroxysmal AF is a condition that resolves spontaneously within 24 hours in more than 70% of the cases. A wait-and-see approach with rate-control medication only and when needed cardioversion within 48 hours of onset of symp...
متن کامل“Wait and See” Approach to the Emergency Department Cardioversion of Acute Atrial Fibrillation
Objective. Acute atrial fibrillation often spontaneously resolves. This study aimed to investigate the outcomes and satisfaction of an evidence-based ED protocol employing a "wait and see" approach. Methods. A prospective observational cohort study of adult patients presenting to the Emergency Department with stable acute atrial fibrillation was performed. Patients were excluded if they were co...
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Although catheter-based radiofrequency ablation is no longer experimental, it is not yet the first-line treatment for most patients. The authors describe how this procedure works, its indications, benefits, and limitations, and important points to communicate to potential candidates for this procedure.
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There is growing evidence of the benefit of ablation in the treatment of drug refractory atrial fibrillation.
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ژورنال
عنوان ژورنال: CJEM
سال: 2019
ISSN: 1481-8035,1481-8043
DOI: 10.1017/cem.2019.403