Atrial Fibrillation Assessment Tips

February 19, 2021

ILLUSTRATION: Chris Whissen & shutterstock.com

In managing atrial fibrillation, it’s important to assess whether Wolf-Parkinson-White syndrome (WPW) might also be present, with some beats being transmitted down an accessory pathway in addition to those coming through the AV node.

Review “Atrial Fibrillation Assessment Tips, Via a Dance Club Analogy” in ACEP Now before you answer the question.

Which of the following is incorrect concerning its assessment and management?

In a patient with atrial fibrillation with QRS complexes of different widths, consider the possibility that an accessory pathway might be transmitting beats (in addition to those coming through the AV node).

Think about the possibility of an accessory pathway in a patient with atrial fibrillation and a rate that is at times 200–300 bpm.

Procainamide is a good treatment option in a patient with atrial fibrillation with rapid ventricular response and concurrent WPW.

An AV nodal blocking agent is a good treatment option in a patient with atrial fibrillation with rapid ventricular response and concurrent WPW.

Cardioversion is a reasonable option to consider in a patient with atrial fibrillation with rapid ventricular response and concurrent WPW.