Short Stay Management of Atrial Fibrillation

This book provides a road map for the efficient and successful management of atrial fibrillation (AF) in the short stay unit. It describes the problem, defines the measures of successful treatment, elucidates interventions, and supplies the tools for achi

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W. Frank Peacock Carol L. Clark Editors

Short Stay Management of Atrial Fibrillation

CONTEMPORARY CARDIOLOGY CHRISTOPHER P. CANNON, MD SERIES EDITOR

More information about this series at http://www.springer.com/series/7677

W. Frank Peacock • Carol L. Clark Editors

Short Stay Management of Atrial Fibrillation

Editors W. Frank Peacock, MD, FACEP, FACC Department of Emergency Medicine Baylor College of Medicine Houston, TX USA

Carol L. Clark, MD, MBA, FACEP Department of Emergency Medicine Beaumont Health System Oakland University William Beaumont School of Medicine Royal Oak, MI USA

ISSN 2196-8969 ISSN 2196-8977 (electronic) Contemporary Cardiology ISBN 978-3-319-31384-9 ISBN 978-3-319-31386-3 (eBook) DOI 10.1007/978-3-319-31386-3 Library of Congress Control Number: 2016944795 © Springer International Publishing Switzerland 2016 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, express or implied, with respect to the material contained herein or for any errors or omissions that may have been made. Printed on acid-free paper This Humana Press imprint is published by Springer Nature The registered company is Springer International Publishing AG Switzerland

Preface

Atrial fibrillation, already the most common cardiac arrhythmia, continues to increase in the frequency of its hospital presentations. Historically, the evaluation and management of atrial fibrillation required several days to complete, thus necessitating an inpatient admission. That is not the case anymore. Changes in the sensitivity and time to results of troponin, ready availability of cardiac ultrasound, and the rapid onset of effect of the direct oral anticoagulant drug class have provided a new paradigm. Inpatient hospitalization is no longer the only clinical pathway choice for managing this arrhythmia. Rate control, evaluation of new-onset atrial fibrillation, and cardioversion all represent potential patient candidates for admission to the short stay unit. Consequently, new care pathways, procedure standards, and patient discharge information are needed. This book outlines the strategies for care and disposition and p