- Approach
- Sudden Cardiac Death
- Arrhythmogenic Right Ventricular Dysplasia
- Brugada Syndrome
- Atrial Fibrillation
- Atrial Fibrillation
- Atrial Fibrillation Causes
- Atrial Fibrillation EKG
- Atrial Flutter
- Atrial Fibrillation Acute Management
- Atrial Fibrillation Anticoagulation
- Atrial Fibrillation Cardioversion
- Electrical Synchronized Cardioversion of Atrial Fibrillation
- Atrial Fibrillation Chemical Cardioversion
- Atrial Fibrillation Rate Control
- Atrial Fibrillation Rhythm Control
- Episodic Atrial Fibrillation Home Management
- Bradycardia
- Bradycardia
- Sinus Bradycardia
- Atrioventricular Block
- Sick Sinus Syndrome
- Unstable Bradycardia
- Coronary Artery Disease
- Electrocardiogram in Myocardial Infarction
- Emergency Medicine
- Guidelines for Emergency Cardiovascular Care
- Extrasystole
- Extrasystole
- Premature Atrial Contraction
- Premature Junctional Contraction
- Premature Ventricular Contraction
- Pulseless
- Asystole
- Pulseless Electrical Activity
- Ventricular Fibrillation
- Ventricular Fibrillation Management in the Adult
- Ventricular Fibrillation Management in the Child
- Information Resources
- EKG Resources
- Symptoms
- EKG Changes in Syncope due to Arrhythmia
- Tachycardia
- Tachycardia
- Delayed Tachycardia
- Sinus Tachycardia
- Narrow Complex Tachycardia
- Atrial Tachycardia
- Atrioventricular Nodal Reentry
- Atrioventricular Reciprocating Tachycardia
- Wolff-Parkinson-White Syndrome
- Supraventricular Tachycardia Management in the Adult
- Supraventricular Tachycardia Management in the Child
- Wide Complex Tachycardia
- Ventricular Tachycardia Management in the Adult
- Ventricular Tachycardia Management in the Child
From Related Chapters
- Anatomy
- Cardiac Electrophysiology Anatomy
- Examination
- Electrocardiogram
- CCS Symptom Severity in Atrial Fibrillation Scale
- CHAD Score
- CHADS2-VASc Score
- Heart Rate
- QRS Axis
- Left Axis Deviation
- Right Axis Deviation
- QRS Complex
- Bundle Branch Block
- Sgarbossa Criteria
- PR interval
- QT Interval
- EKG in Pulmonary Embolism
- Right Ventricular Strain EKG Pattern
- J Point
- ST Elevation
- Early Repolarization
- Electrocardiogram Validity
- Epsilon Wave
- J Wave
- P Wave
- R Wave
- T Wave
- Wellen's Syndrome
- U Wave
- Infectious Disease
- Cardiac Pacemaker Infection
- Myocardial Disorders
- Left Ventricular Hypertrophy Related EKG Changes
- Right Ventricular Hypertrophy
- Obstetrics
- EKG Changes During Pregnancy
- Pericardial Disorders
- EKG in Pericarditis
- Pharmacology
- Antiarrhythmic
- Adenosine
- Prolonged QT Interval due to Medication
- Bradycardia due to Medications
- Tachycardia due to Medications
- Procainamide
- Quinidine
- Lidocaine
- Flecainide
- Propafenone
- Amiodarone
- Amiodarone Pulmonary Toxicity
- Bretylium
- Ibutilide
- Sotalol
- Procedure
- Internal Cardiac Defibrillator
- Left Ventricular Assist Device
- Cardiac Resynchronization Therapy
- Pacemaker
- Emergency Transvenous Pacing
- Event Monitor
- Holter Monitor
- Synchronized Cardioversion
- Defibrillation
- Automated External Defibrillator
- Defibrillation Equipment
- Cardiac Catheter Ablation
- Vagal Maneuver
- Sports Medicine
- Arrhythmias in Athletes
- Sudden Death in Athletes
- Symptoms
- Palpitation
- Palpitation Causes
- Atrial Fibrillation
- Atrial Flutter
- Atrial Fibrillation Causes
- Electrocardiogram in Atrial Fibrillation
- Atrial Fibrillation Acute Management
- Electrical Synchronized Cardioversion of Atrial Fibrillation
- Synchronized Cardioversion
- Atrial Fibrillation Rate Control
- Atrial Fibrillation Rhythm Control
- Atrial Fibrillation Chemical Cardioversion
II. Indications
- Episodic Atrial Fibrillation
- Fewer than 12 Atrial Fibrillation episodes yearly
III. Contraindications
- Congestive Heart Failure or other structural heart disease
- Coronary Artery Disease
IV. Protocol (Initiated by Cardiology)
- Cardiologists prescribe agent
- Flecainide (Tambicor) 200-300 mg
- Propafenone (Rhythmol) 600 mg
- Patient takes agent as needed at Atrial Fibrillation symptom onset
- Expect improvement within 2 hours of pill
- High rate of cardioversion within 8 hours
- ER indications
- No improvement in 2 hours
- Pulse increases after dose (Atrial Flutter)
- Safety
- Low Incidence of proarrhythmia
V. References
- (January 2005) Prescriber's Letter, p. 6
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Anatomy Chapter
Circulatory Disorders Chapter
Congestive Heart Failure Chapter
Coronary Artery Disease Chapter
Electrocardiogram Chapter
Emergency Medicine Chapter
Endocrinology Chapter
Examination Chapter
General Chapter
Geriatric Medicine Chapter
Gynecology Chapter
Hyperlipidemia Chapter
Hypertension Chapter
Infectious Disease Chapter
Myocardial Disorders Chapter
Neonatology Chapter
Neurology Chapter
Obstetrics Chapter
Ophthalmology Chapter
Pathology and Laboratory Medicine Chapter
Pediatrics Chapter
Pericardial Disorders Chapter
Pharmacology Chapter
Prevention Chapter
Procedure Chapter
Pulmonology Chapter
Radiology Chapter
Sports Medicine Chapter
Surgery Chapter
Symptoms Chapter
Valvular Disease Chapter
Arrhythmogenic Right Ventricular Dysplasia
Asystole
Atrial Fibrillation
Atrial Fibrillation Acute Management
Atrial Fibrillation Anticoagulation
Atrial Fibrillation Cardioversion
Atrial Fibrillation Causes
Atrial Fibrillation Chemical Cardioversion
Atrial Fibrillation EKG
Atrial Fibrillation Rate Control
Atrial Fibrillation Rhythm Control
Atrial Flutter
Atrial Tachycardia
Atrioventricular Block
Atrioventricular Nodal Reentry
Atrioventricular Reciprocating Tachycardia
Bradycardia
Brugada Syndrome
Delayed Tachycardia
EKG Changes in Syncope due to Arrhythmia
EKG Resources
Electrical Synchronized Cardioversion of Atrial Fibrillation
Electrocardiogram in Myocardial Infarction
Episodic Atrial Fibrillation Home Management
Extrasystole
Guidelines for Emergency Cardiovascular Care
Narrow Complex Tachycardia
Premature Atrial Contraction
Premature Junctional Contraction
Premature Ventricular Contraction
Pulseless Electrical Activity
Sick Sinus Syndrome
Sinus Bradycardia
Sinus Tachycardia
Sudden Cardiac Death
Supraventricular Tachycardia Management in the Adult
Supraventricular Tachycardia Management in the Child
Tachycardia
Unstable Bradycardia
Ventricular Fibrillation
Ventricular Fibrillation Management in the Adult
Ventricular Fibrillation Management in the Child
Ventricular Tachycardia Management in the Adult
Ventricular Tachycardia Management in the Child
Wide Complex Tachycardia
Wolff-Parkinson-White Syndrome