What are the rate control strategies for management of atrial fibrillation (Afib) (AF)?

Updated: Nov 18, 2019
  • Author: Lawrence Rosenthal, MD, PhD, FACC, FHRS; Chief Editor: Jeffrey N Rottman, MD  more...
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Answer

Rate control strategies

  • Medications (non-dihydropyridine calcium channel blockers, beta-blockers, digoxin [rarely as monotherapy], amiodarone [mainly for patients who are intolerant of, or unresponsive to, other agents])

  • Atrioventricular node modification with placement of a permanent pacemaker (invasive procedure indicated in patients when other rate and rhythm control alternatives have been exhausted)


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