Stroke prevention first (CHA2DS2-VASc-gated DOAC), then commit to rate vs rhythm strategy with shared decision; early rhythm control within 12 months often preferred per EAST-AFNET 4.
Authored pathway active · cardio.af.management.outpatient
Stroke prevention first (CHA2DS2-VASc-gated DOAC), then commit to rate vs rhythm strategy with shared decision; early rhythm control within 12 months often preferred per EAST-AFNET 4.
Guidelines: ACC/AHA/ACCP/HRS 2023 AF Guideline · ESC 2024 AF Guideline · EAST-AFNET 4 (early rhythm control)
Phenotypes (7)
- New-onset AF — unstable (shock, ischemia, severe HF)
- New-onset AF — stable
- Permanent AF — rate control strategy
- Paroxysmal AF — symptomatic, rhythm strategy
- +3 more
Red flags (6)
- AF with RVR and hemodynamic instability (SBP < 90)CRITICAL
- Pre-excited AF (WPW with wide, irregular QRS tachycardia)CRITICAL
- New neurological deficit concerning for cardioembolic strokeCRITICAL
- AF precipitating acute decompensated HFHIGH
- +2 more
Pathway-scoped symptom and exam intake
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Uses LR engine cardio.afib.core.v1, then routes suggested engines into the workspace.
19-panel workspace
cardio.af.management · OutpatientStart patient workup
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Encounter and problems
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Multi-window tools
Unified
labs + fluids + acid-base
Labs
fast lab analyzer
Fluid
resuscitation and balance
Electrolytes
Na/K/Mg/Phos/Ca
ABG/VBG
compensation and mixed disorders
Popular entry points
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