Please note: this guideline has exceeded its review date and is currently under review by specialists. Exercise caution in the use of the clinical guideline.

Figure 1 – (Contd)

Algorithm for Cardioversion of AF – Continued

Haemodynamic compromise?

Adverse signs are: pallor, sweating, cold clammy extremities, impaired consciousness, systolic <90mmHg, pulmonary oedema, raised jugular venous pressure

If No – Select here

If Yes – Continue below

Oxygen and monitoring as Tachyarrhythmia
DC cardioversion
Maintenance of sinus rhythm with amiodarone (for dosing guidance see here.)

N.B. Deal with precipitants of AF: Infection, alcohol, hyperthyroidism, heart failure.