Atrial Fibrillation: An Approach to Diagnosis and Management in the Emergency Department | Points & Pearls
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Atrial Fibrillation: An Approach to Diagnosis and Management in the Emergency Department

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Points & Pearls Excerpt

  • The classifications of AF are: (1) paroxysmal AF: episodes that terminate within 7 days; (2) persistent AF: episodes that last >7 days; (3) long-standing persistent AF: rhythm that has persisted >12 months; and (4) permanent AF: where decision has been made to cease further therapy.
  • AF is associated with up to a 40% increased risk in first-degree relatives with the condition.
  • Patients may present to the ED in AF/AFL due to the disease itself or as a manifestation of another metabolic process or stressor (eg, sepsis, endocrine dysfunction, substance abuse, alcohol use, thromboembolism, or heart failure).
  • Clinical symptoms may include chest pain, dyspnea, dizziness, palpitations, or fatigue.
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Publication Information
Authors

Brian Milman, MD; Boyd D. Burns, DO, FACEP

Peer Reviewed By

Corey M. Slovis, MD, FACP, FACEP; Douglas L. Robinson, DO, MS

Publication Date

May 1, 2021

CME Expiration Date

June 1, 2024

CME Credits

4 AMA PRA Category 1 Credits™, 4 ACEP Category I Credits, 4 AAFP Prescribed Credits, 4 AOA Category 2-A or 2-B Credits.

Pub Med ID: 33885254

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