atrial fibrillation
Clinical teaching and practical ideas for your next study session.
Medical Education
Pre-excited Atrial Fibrillation: When Rate Control Is the Wrong Move
In pre-excited AF, stable blood pressure does not make routine AV-nodal rate control safe. Recognize the irregular wide-complex clue; stable patients may undergo monitored drug conversion or elective electrical cardioversion, while instability calls for immediate electrical cardioversion.
Case Discussion
Sepsis-Associated Atrial Fibrillation: Is the Rhythm Causing Shock?
A fast irregular rhythm in sepsis may be the culprit, a consequence, or both. This case-based discussion teaches how to determine whether AF is driving instability, choose rate control versus synchronized cardioversion, and plan follow-up after recovery.