Hi,
I'm a medstudent in Canada. Trying to figure out treatment pattern for AF.
The specific question I have is what to do with a relatively young patient (let's say 40) presents with palpitations started 2 weeks ago, has no particular history.
Normally we try to control the rate before controlling the rhythm unless the patient has important symptoms or can't tolerate rate controlling Rx. What I'm trying to figure out is whether or not we do cardioversion on that kind of patient? Normally we do when it's de novo AF under 48h with ACO therapy.
In a patient like this there is a CHADS2 score of 0, normally we should not add ACO therapy.
I think I'm really really confused now. If anyone can help out, it would be great!
Thanks!
I'm a medstudent in Canada. Trying to figure out treatment pattern for AF.
The specific question I have is what to do with a relatively young patient (let's say 40) presents with palpitations started 2 weeks ago, has no particular history.
Normally we try to control the rate before controlling the rhythm unless the patient has important symptoms or can't tolerate rate controlling Rx. What I'm trying to figure out is whether or not we do cardioversion on that kind of patient? Normally we do when it's de novo AF under 48h with ACO therapy.
In a patient like this there is a CHADS2 score of 0, normally we should not add ACO therapy.
I think I'm really really confused now. If anyone can help out, it would be great!
Thanks!