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 |
| ↓ |
|
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.