Recognition
- • Irregularly irregular rhythm
- • Absent P waves
- • Fibrillatory baseline
Key findings
- • Variable R-R interval
- • Often tachycardia (uncontrolled AF)
Clinical importance
- • Stroke risk (CHA₂DS₂-VASc)
- • Heart failure if rapid response
Management pearls
- • Rate (β-blocker, diltiazem, digoxin)
- • Rhythm (DC cardioversion / amiodarone / flecainide)
- • Anticoagulation per CHA₂DS₂-VASc
Related in WardRound
