Emergency Department Management of Recent-Onset Atrial Fibrillation
| Autor: | Haili Gregory, Jeffrey Caporossi, Kyle A. Weant, Gregory A. Hall, Andrew J. Matuskowitz |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Electric Countershock MEDLINE Emergency Nursing Electrocardiography 03 medical and health sciences 0302 clinical medicine Atrial Fibrillation Health care medicine Humans 030212 general & internal medicine Recent onset business.industry Anticoagulants 030208 emergency & critical care medicine Atrial fibrillation Admission rate Medication administration Emergency department Calcium Channel Blockers medicine.disease Emergency medicine Emergency Medicine Pharmacological cardioversion Emergency Service Hospital business Anti-Arrhythmia Agents Sodium Channel Blockers |
| Zdroj: | Advanced Emergency Nursing Journal. 42:176-185 |
| ISSN: | 1931-4485 |
| DOI: | 10.1097/tme.0000000000000306 |
| Popis: | Atrial fibrillation (AF) is the most common tachyarrhythmia managed in the emergency department (ED). Visits to the ED for a presentation of AF have been increasing in recent years, with an admission rate that exceeds 60% in the United States and contributes substantially to health care costs. Recent-onset AF-defined as symptom onset less than 48 hr-is a common ED presentation for which rate control or acute electrical or pharmacological cardioversion may be appropriate treatment modalities depending on patient-specific circumstances. The focus of this review is to discuss the current recommendations regarding the management of recent-onset nonvalvular AF in the ED, discuss medication administration considerations, and identify implementation strategies in the ED to optimize throughput and reduce hospital admissions. |
| Databáze: | OpenAIRE |
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