And probably flecainide in the young person without left ventricular
disease?
Andy Webster
Risk of conversion before anticoagulation is mainly in AF of a few days'
duration. No risk in SVT. Safe if AF of new onset (in the last few
hours).
However, in an otherwise well patient there's a lot to be said for doing
nothing for AF- most revert within 24 hours; and most that don't will go
back into AF if you do cardiovert. The pendulum is certainly swinging
towards rate control rather than cardioversion for most AFs though. If I
was
looking at cardioversion in AF, I'd consider chemical cardioversion.
Matt Dunn
Warwick
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