A Fib

A Fib in lung transplants

(From PostOp Lung Transplant Guidelines)

Normotensive / hypertensive → IV beta blockers + maintenance PO BB

SBP < 100 or on vasopressors → Amiodarone

Unstable tachyarrhythmia → Cardioversion

*Discuss anticoagulation with CTS/Pulm teams if persists > 48 hours*

A Fib in all other patient populations

Hemodynamically unstable A Fib warrants immediate cardioversion!
Image: Epocrates A Fib