![]() ![]() The presence of a wide-complex tachycardia ( WCT) raises the likelihood of preexcited Afib, Afib with aberrant conduction, and other WCTs, e.g., ventricular tachycardia ( VT). The typical appearance of Afib with RVR is an irregularly irregular narrow-complex tachycardia ( NCT) without discernable P waves. Affected individuals typically present with palpitations, but may be asymptomatic or also have signs of hemodynamic instability. Long-term Afib with RVR may lead to tachycardia-induced cardiomyopathy. Afib with RVR can lead to impairment of cardiac output and hemodynamic instability due to shortened ventricular filling time and increased myocardial oxygen demand. only warfarin should be used with vascular lesions (eg.Atrial fibrillation with rapid ventricular response ( Afib with RVR) is Afib with a ventricular rate > 100–110/minute.international normalized ratio (INR) target of 2-3.novel anticoagulants contraindicated in renal failure.score of 2 or more use oral anticoagulation.e.g., previous myocardial infarction and peripheral artery disease.Stroke/transient ischemic attack/thromboembolism = 2 point.stroke risk stratification CHA 2DS 2-VASc score.in order to decrease the risk of thromboembolism.in heart failure with reduced ejection fraction.beta blocker preferred in coronary artery disease.treatment is chosen based on patient's comorbidities.β-blocker or nondihydropyridine calcium channel blocker.use calcium channel blocker or titratable beta blocker (esmolol). ![]() intravenous β- blockers or nondihydropyridine calcium channel blocker. ![]()
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