🚑 Do you know the impact of prehospital interventions on patients with Atrial Fibrillation with Rapid Ventricular Response (AF-RVR)?
📊 Study Insights:
- Data: 2021 ESO Data Collaborative for 911 responses.
- Included: 4859 Patients with AFib with RVR (heart rate ≥ 110 bpm) matched to 4859 similar untreated patients.
- Interventions: Calcium channel blockers (e.g. Diltiazem), beta-blockers, or cardioversion.
📈 Results:
- Treated patients had better prehospital rate control (41% vs. 18.2% in untreated).
- Higher discharge from ED in the treated group (37.9% vs. 34%).
- Lower mortality for treated patients (4.3% vs. 6.7%).
- Hypotension was more common in treated but primarily transient.
Adverse Events: Focused on bradycardia, hypotension, and cardiac arrest during prehospital care.
🔍 Method:
- Retrospective study with propensity score matching to reduce bias.
💡 Conclusion:
- Prehospital ALS improves rate control, ED discharge rates, and lowers mortality in AF-RVR.
- Highlights need for further research.
🔗 Full Study: https://ow.ly/JbAe50Qb5GY