Atrial Fibrillation and WPW - Pre-Excitation AFib

In pre-excitation + a-fib with RVR:

 • All AV nodal blocking meds are contraindicated

 • For rate and/or rhythm control: procainamide or ibutilide

 • Keep defibrillator at bedside

 • Cardiology consult (urgency depending on patient's stability)

 • Low threshold for electrical cardioversion



- Dr. Eric Strong @DrEricStrong - Strong Medicine https://www.youtube.com/c/EricsMedicalLectures/



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