Editing Post-op AF (section)

== '''Drug options''' ==

* Amiodarone
** Rate control and rhythm control (can be a problem if not anticoagulated)
** Contraindications
*** Sino-atrial block
*** Severe hypotension
*** Thyroid disease
*** CCF
*** Pregnancy and breastfeeding
* Flecainide
** Contraindications
*** Atrial flutter
*** CCF
*** Structural heart disease
*** Recent MI
* Beta-blockers
** Indications
*** Preferred agents when AF is associated hyper-adrenergic states
** Contraindications
*** Asthma/COPD
*** Uncontrolled heart failure
*** Sick sinus syndrome
*** Heart block
*** Hypotension (approx <100)
*** Severe peripheral vascular disease
*** Pregnancy and breastfeeding
* Calcium channel blockers
** Contraindications
*** Heart failure
*** Hypotension
*** Sick sinus syndrome
*** Heart block
*** AF with WPW
*** VT
*** Pregnancy and breastfeeding
*** Already on beta-blocker
* Digoxin
** Popular for long-term rate control, but slow response in acute setting (peak response at least 6 hours)
** Mostly has a role in AF with heart failure
** Often used in combination with beta blockers or CCBs - works synergistically
** Doesn't tend to drop BP