Jul 15, 2002 Issue
Acute Management of Atrial Fibrillation: Part I. Rate and Rhythm Control [Article]

Atrial fibrillation is the arrhythmia most commonly encountered in family practice. Serious complications can include congestive heart failure, myocardial infarction, and thromboembolism. Initial treatment is directed at controlling the ventricular rate, most often with a calcium channel blocker, a ...

Jul 15, 2002 Issue
Acute Management of Atrial Fibrillation: Part II. Prevention of Thromboembolic Complications [Article]

Family physicians should be familiar with the acute management of atrial fibrillation and the initiation of chronic therapy for this common arrhythmia. Initial management should include hemodynamic stabilization, rate control, restoration of sinus rhythm, and initiation of antithrombotic therapy. Pa...

Jun 15, 2002 Issue
Management of Common Arrhythmias: Part I. Supraventricular Arrhythmias [Article]

Family physicians frequently encounter patients with symptoms that could be related to cardiac arrhythmias, most commonly atrial fibrillation or supraventricular tachycardias. The initial management of atrial fibrillation includes ventricular rate control to provide adequate cardiac output. In patie...

Jun 15, 2002 Issue
Management of Common Arrhythmias: Part II. Ventricular Arrhythmias and Arrhythmias in Special Populations [Article]

In patients without established cardiac disease, the occurrence of premature ventricular complexes without sustained ventricular tachycardia is more an annoyance than a medical risk, and treatment is not required. In contrast, patients with established heart disease and premature ventricular complex...

Feb 1, 2000 Issue
ACC/AHA Guidelines for Ambulatory ECG [Practice Guidelines]

The American College of Cardiology (ACC) and the American Heart Association (AHA) have developed guidelines for the use of ambulatory electrocardiography (ECG).

Aug 01, 1998 Issue
Drugs for Conversion of Atrial Fibrillation [Article]

Atrial fibrillation is the most common arrhythmia in patients visiting a primary care practice. Although many patients with atrial fibrillation experience relief of symptoms with control of the heart rate, some patients require restoration of sinus rhythm. External direct current (DC) cardioversion ...

Jul 01, 1998 Issue
Indications for Anticoagulation in Atrial Fibrillation [Article]

Factors associated with an increased risk of thromboembolic events in patients with atrial fibrillation (AF) include increasing age, rheumatic heart disease, poor left ventricular function, previous myocardial infarction, hypertension and a past history of a thromboembolic event. Patients with AF sh...

Jan 15, 1998 Issue
Advances in the Treatment of Arrhythmias: Implantable Cardioverter-Defibrillators [Article]

Implantable cardioverter-defibrillators are commonly used in patients who have life-threatening ventricular arrhythmias. With these implanted electronic devices, bradyarrhythmias and tachyarrhythmias can be recognized promptly and treated with electrical pacing, cardioversion or defibrillation. Impl...

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