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.
Algorithm for Cardioversion of AF – Continued |
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Haemodynamic compromise? Adverse signs are: pallor, sweating, cold clammy extremities, impaired consciousness, systolic <90mmHg, pulmonary oedema, raised jugular venous pressure |
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If No – Select here If Yes – Continue below |
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Oxygen and monitoring as Tachyarrhythmia |
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DC cardioversion |
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Maintenance of sinus rhythm with amiodarone (for dosing guidance see here.) |
N.B. Deal with precipitants of AF: Infection, alcohol, hyperthyroidism, heart failure.