Choice of Prophylactic Medication for Atrial Fibrillation

Choice of Prophylactic Medication for Atrial Fibrillation - Flowchart Choice of Prophylactic Medication for Atrial Fibrillation Choice of Prophylactic Medication for Atrial Fibrillation

«Flowchart»

ATRIAL FIBRILLATION

Lone atrial fibrillation

Hypertension

Coronary artery disease

Heart failure

First choice
Beta blocker
Flecainide
(Propafenone)

Next choice
Sotalol
Dronedarone
Amiodarone
(Quinidine)
(Disopyramide)

To be avoided
Digoxin

First choice
Beta blocker
Flecainide
(Propafenone)

Next choice
Sotalol
Dronedarone
Amiodarone
(Quinidine)
(Disopyramide)

To be avoided
Digoxin

First choice
Beta blocker
Flecainide
(Propafenone)

First choice

Next choice
Sotalol
Dronedarone
Amiodarone
(Quinidine)
(Disopyramide)

Next choice

To be avoided
Digoxin

To be avoided

End

First choice
Beta blocker

Next choice
Sotalol
Dronedarone
Amiodarone

To be avoided
Class I agents

First choice
Beta blocker

Next choice
Sotalol
Dronedarone
Amiodarone

To be avoided
Class I agents

First choice
Beta blocker

First choice

Next choice
Sotalol
Dronedarone
Amiodarone

Next choice

To be avoided
Class I agents

To be avoided

Yes

Yes Yes

No No

Medication of underlying disease and prevention of "remodelling": ACE inhibitor, ARB, statin

LVH?

LVH? LVH?

First choice
Beta blocker

Next choice
Sotalol
Dronedarone
Amiodarone

To be avoided
Class I agents

First choice
Beta blocker

First choice

Next choice
Sotalol
Dronedarone
Amiodarone

Next choice

To be avoided
Class I agents

To be avoided
Beta blocker

First choice
Beta blocker
Amiodarone

To be avoided
Class I agents

First choice
Beta blocker
Amiodarone

First choice

To be avoided
Class I agents

To be avoided
Beta blocker Amiodarone