Adventures in cross-cover: Atrial Fibrillation

Its 3 am and you are paged about a patient with atrial fibrillation and a rapid ventricular response. As you head to the patient’s room, it may become easier to make a clinical decision with an algorithm already in mind. The ACC/AHA/HRS 2014 guidelines and the CHEST guidelines on the management of atrial fibrillation suggest a few branch points in the decision tree:

A fib acute mgmt