Approach to acute AF

(Adapted from Circ 2014;130:e199)

New or Recent onset atrial fibrillation

Unstable: Urgent Cardioversion

stable:

1. Rate Control-atrial fibrillation Figure:

2. Oral anticoagulation-atrial fibrillation

   1. Direct Oral Anticoagulants (DOACs) for NVAF
   2. Spontaneous cardioversion occurs within 24h in 1/2, 2/3 pt

3. Consider cardioversion of Approach to acute AF