A Fib

■ 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*

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