Secondary Afib, ICU-Bed 10: Trigger? Rx?

November 9, 2017

You're finishing rounds on Friday and are called to the ICU to consult on a case of Afib. The patient is a surprise and the residents have questions. Good luck!

You are ready for the weekend and nearly finished with rounds. You are paged to consult on a case of atrial fibrillation in the ICU. It's not the patient you thought you would find and the next steps aren't exactly clear cut. Plus, a couple of residents have you parked now at curbside. Follow the case through the slide show above. And, good luck.  ReferencesLubitz SA , Yin X, Rienstra M, et al. Long-term outcomes of secondary atrial fibrillation in the community: The Framingham Heart Study. Circulation. 2015;131:1648-1655.Quon MJ, Behlouli H, Pilote L. Anticoagulant use and risk of ischemic stroke and bleeding in patients with secondary atrial fibrillation associated with acute coronary syndromes, acute pulmonary disease, or sepsis. JACC Clin Electrophysiol 2017.