Dec 13, 2020
Written By: Caleb Dusdal, FM PGY1 Calgary
Reviewed By: Kirstin Dawson, IM PGY1 - Ottawa
In a patient who presents with new onset atrial fibrillation, look for an underlying cause
In a patient presenting with atrial fibrillation, look for haemodynamic instability, and intervene rapidly and appropriately to stabilize the patient.
In an individual presenting with chronic or paroxysmal atrial fibrillation,
a. Explore the need for anticoagulation based on the risk of stroke with the patient and
b. Periodically reassess the need for anticoagulation.
In patients with atrial fibrillation, when the decision has been made to use anticoagulation, institute the appropriate therapy and patient education, with a comprehensive follow-up plan.
In a stable patient with atrial fibrillation, identify the need for rate control.
In a stable patient with atrial fibrillation, arrange for rhythm correction when appropriate.