Acute atrial fibrillation with rapid ventricular rate If patient is experiencing symptoms get an IV placed and cardiac monitoring started If the patient is hemodynamically unstable give them synchronized cardioversion with rapid ventricular rate the goal is to get the heart rate below 110 bpm, and this is done with rate control medications. Find out if they have heart failure (acute decompensated heart failure) – if yes, then they will usually get digoxin or amiodarone. If no, then a calcium channel blocker like diltiazem or a beta-blocker like metoprolol If they received electrical cardioversion they will need anticoagulation for 1 month Chronic Atrial fibrillation Rate and Rhythm control have similar…