# Atrial Fibrillation (new)
Patient with new atrial fibrillation, with symptoms/onset notable for ***. Suspect due to ***, with common etiologies including infection, cardiac disease (ischemic, heart failure, structural), HTN, PE, ETOH/tox, sleep disorder and endocrinopathy. CHA2DS2-VASc: ***
- Rate Control:
- CBC, BMP, TSH
#Afib with RVR (stable)
Acute management of stable Afib with RVR with IV Metoprolol tartrate 5mg IV q15min x3 or Diltiazem 10-20mg IV q15min x3 may be warranted. Amiodarone can be used if the patient's blood pressure may not support IV metop/dilt, althought it carries the thromboembolic risk of chemical cardioversion. If the patient is hemodynamically unstable, synchronized cardioversion is warranted, with subsequent anticoagulation depending on Afib chronicity and onset.