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Atrial fibrillation af is the most common sustained cardiac arrhythmia in the critically ill and is associated with adverse outcomes although there are plausible benefits from conversion and maintenance of sinus rhythm the so called rhythm control strategy recent randomized trials have failed to demonstrate the superiority of this approach over the rate control strategyclinical management of atrial fibrillation course 90822 40 10 hourscredits participation instructions review the course material online or in print the efficacy safety and cost of the treatment option must also be evaluated this course will review current treatment options for the clinical management of atrial fibrillation including indications for use risks and criteria for evaluating the treatments efficacythe prevalence of atrial fibrillation af already the most common sustained cardiac arrhythmia is constantly rising even after adjusting for age and presence of structural heart disease af increases the risk of stroke sixfold and is associated with a twofold increase in mortality which remains above 15 fold after adjusting for co morbidity predominantly caused by cerebrovascular events this guideline covers diagnosing and managing atrial fibrillation in adults it aims to ensure that people receive the best management to help prevent harmful complications in particular stroke and bleeding

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