These key learning points summarize the consensus- and evidence-based recommendations included in this edition. The sources listed here for each statement recommend that physicians perform or implement these actions directly in a clinical setting.
1. Refer patients with atrial fibrillation (AF) and hemodynamic instability for immediate synchronized direct current cardioversion.
Evidence rating: SORT C
Sources: European Society of Cardiology (ESC), American Heart Association (AHA)/American College of Cardiology (ACC)/Heart Rhythm Society (HRS), Canadian Cardiovascular Society (CCS)/Canadian Heart Rhythm Society (CHRS), references 2, 5, 7
Websites: https://academic.oup.com/eurheartj/article/42/5/373/5899003
https://www.sciencedirect.com/science/article/pii/S0735109714017409
https://onlinecjc.ca/article/S0828-282X(20)30991-0/fulltext
2. Consider catheter ablation in patients with paroxysmal or persistent AF who are symptomatic and unable to tolerate at least one antiarrhythmic drug.
Evidence rating: SORT B
Source: ESC, reference 2
Website: https://academic.oup.com/eurheartj/article/42/5/373/5899003
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