Episodic Atrial Fibrillation Home Management

Aka: Episodic Atrial Fibrillation Home Management, Intermittent Atrial Fibrillation Pill in the Pocket, Paroxysmal Atrial Fibrillation Home Management

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II. Indications

  1. Episodic Atrial Fibrillation
    1. Fewer than 12 Atrial Fibrillation episodes yearly

III. Contraindications

  1. Congestive Heart Failure or other structural heart disease
  2. Coronary Artery Disease

IV. Protocol (Initiated by Cardiology)

  1. Cardiologists prescribe agent
    1. Flecainide (Tambicor) 200-300 mg
    2. Propafenone (Rhythmol) 600 mg
  2. Patient takes agent as needed at Atrial Fibrillation symptom onset
    1. Expect improvement within 2 hours of pill
    2. High rate of cardioversion within 8 hours
  3. ER indications
    1. No improvement in 2 hours
    2. Pulse increases after dose (Atrial Flutter)
  4. Safety
    1. Low Incidence of proarrhythmia

V. References

  1. (January 2005) Prescriber's Letter, p. 6

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