Determine patient-specific factors that influence the choice between rate-control and rhythm-control strategies The Canadian Cardiovascular Society CCS AF guidelines 1 suggest that certain patient factors favour rate control over rhythm control Table 3. First-time administration requires observation and is usually performed by a cardiologist. Pill-in-the-pocket dosing for flecainide and propafenone can be found in Table 5. Underlying factors for AF should be identified and corrected if possible. RxFiles and contributing authors do not have any commercial competing interests. Table 1 Identification of type of AF. Pfizer Canada Cordarone product monograph.

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To earn credits, go to www. Go to the full text of the article online, then click on CFPlus in the menu at the top right-hand side of the page. However, after a few days of mg of sustained-release metoprolol daily, rsfiles remains rxfiles 9th edition with AF episodes. Amiodarone is an appropriate choice of add-on therapy for the following reasons: Heart ; 95 Feb 17, Version 2.

Can J Cardiol ;28 3: J Cardiovasc Electrophysiol ; 21 6: This article is eligible for Mainpro-M1 credits. Price of subscription and renewal are identical. Catheter ablation of atrial arrhythmias: Optimal treatment strategy for patients with paroxysmal atrial fibrillation: November 27 Epub ahead of print.


He also has hypertension that is well controlled with 10 mg of rxfilfs once daily. Can J Cardiol ; 27 1: Use of the application following one year will require a subscription rxfiles 9th edition. Amiodarone to prevent recurrence of atrial fibrillation.

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Payment will be charged to iTunes Account at confirmation of purchase The Subscription automatically renews unless auto-renew is turned off at least hours before the end of the current period. Use might be considered in patients with paroxysmal or rxfiles 9th edition AF for rhythm rxfiles 9th edition if no contraindications are present, or as add-on therapy for inadequate rate control.

Current topic areas focus on drug use in primary care including: After baseline thyroid function tests, liver function tests, and chest x-ray examination, the cardiologist decides to load the patient with amiodarone. Dronedarone has received increased attention as a novel agent for the treatment of arrhythmias in the hope of finding a safer alternative to amiodarone therapy. In addition, other factors such as side effect profile, pill burden, monitoring intensity, and cost are important to consider when prescribing therapy for AF.

On physical examination he is in no obvious distress. The discussion below will highlight important treatment considerations. Effective for rate control at rest and with exercise, but no remarkable effects on exercise capacity. A fast-acting atrioventricular nodal blocking agent such as metoprolol should be used in conjunction to prevent concealed conduction that can progress to ventricular tachycardia or fibrillation.


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Compatible with iPhone, iPad, and iPod touch. Short-term, randomized, double-blind, parallel-group study to evaluate the efficacy and safety of dronedarone versus amiodarone in patients with persistent atrial fibrillation: Amiodarone is an appropriate choice of add-on therapy for the following reasons:.

Consider referral to a cardiologist for radiofrequency catheter ablation Exfiles as a treatment option in symptomatic patients who are refractory or intolerant to antiarrhythmics. Fixed bug which prevented updates from functioning correctly on iOS 6.

Over pages, including the 10 brand new charts eg. Pulmonary disease chronic obstructive pulmonary disease. CTAF trial rxfoles showed amiodarone was more efficacious at preventing AF than propafenone or sotalol were.

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