Treatment strategy for Atrial Fibrillation of recent onset in the Emergency Department. The Florence experience A.Conti, B.Del Taglia, B.Paladini, F.Luise , F.Pieralli, A.Camaiti, G. Pepe, S. Magazzini, S.Grifoni, C. Nozzoli. Emergency Department and Chest Pain Unit, Careggi University Hospital, Florence, Italy. VI CONGRESSO NAZIONALE SIMEU RIMINI – 12-16 NOVEMBRE 2008 IL MEDICO D’EMERGENZA VERSO IL FUTURO TRA FORMAZIONE, TECNOLOGIA, INNOVAZIONE, RICERCA, ETICA E … SESSIONE “EMERGENZE CARDIOLOGICHE”
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Treatment strategy for Atrial Fibrillation of recent onset in the
Emergency Department.
The Florence experience
A.Conti, B.Del Taglia, B.Paladini, F.Luise , F.Pieralli, A.Camaiti, G. Pepe, S. Magazzini, S.Grifoni, C. Nozzoli.
Emergency Department and Chest Pain Unit, Careggi University Hospital, Florence, Italy.
VI CONGRESSO NAZIONALE SIMEURIMINI – 12-16 NOVEMBRE 2008
IL MEDICO D’EMERGENZA VERSO IL FUTURO TRA FORMAZIONE, TECNOLOGIA, INNOVAZIONE, RICERCA, ETICA E …
SESSIONE “EMERGENZE CARDIOLOGICHE”
VI CONGRESSO NAZIONALE SIMEURIMINI – 12-16 NOVEMBRE 2008
IL MEDICO D’EMERGENZA VERSO IL FUTURO TRA FORMAZIONE, TECNOLOGIA, INNOVAZIONE, RICERCA, ETICA E …
SESSIONE “EMERGENZE CARDIOLOGICHE”
Atrial fibrillation (AF) is the most common arrhythmia managed by emergency physicians and there is increasing evidence that selected patients with acute AF can be safely managed in the emergency department without the need for hospital admission
JAMA. 2001;285(18):2370-2375
VI CONGRESSO NAZIONALE SIMEURIMINI – 12-16 NOVEMBRE 2008
IL MEDICO D’EMERGENZA VERSO IL FUTURO TRA FORMAZIONE, TECNOLOGIA, INNOVAZIONE, RICERCA, ETICA E …
SESSIONE “EMERGENZE CARDIOLOGICHE”
Safety and efficacy of different pharmacologic treatment strategies were assessed in stable patients (pts) presenting in the Emergency Department with atrial fibrillation of recent onset (AF<24 hours)
Aim
Treatment strategy for Atrial Fibrillation of recent onset in the Emergency Department.
The Florence experience
G. Pepe
Within a first-line 6-hours approach, depending on clinical condition, patients received:
c.Treatment strategy for Atrial Fibrillation of recent onset in the Emergency Department.
The Florence experience
G. Pepe
Conclusions
The management of AF in ED succeed in restoring safely and effectively SR in 91% of patients within a 24-hour treatment strategy Only 9% of patients needed DC Shock
Amiodaron needed a longer time for restoring SR as compared with Propafenone, Flecainide
Treatment strategy for Atrial Fibrillation of recent onset in the Emergency Department.
The Florence experience
G. Pepe
Emergency Department and Chest Pain Unit, Careggi University Hospital, Florence, Italy.