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2014 Oman Heart Association Protocol for the Management of Acute Atrial Fibrillation

El-Deeb, Mohammed H. MB Bch, MSc, MD, FACC*; Sulaiman, Kadhim J. MD, FRCPI, FRCP (Glasgow), FECS*; Al Riyami, Abdullah A. MB Bch, FRCP, PhD*; Al Rawahi, Najib MD, FRCPC, ABIM*; Al Riyami, Adil B. MD, MRCP, ABIM, FRCPC; Al Mukhaini, Mohamed MD, FRCPC, FACC*; Al Riyami, Mohamed B. MD, MRCP*; Sallam, Mansour MB Bch, MSc, MD; Rahman, Said Abdul MB Bch, MSc, MD*; Abbas, Hisham S MB Bch, MSc; Hamad, Gamal S. MB Bch, MRCPI*; Panduranga, Prashanth MBBS, MD, MRCP (UK), MRCPE*; on behalf of the OHA AF Task Force

Critical Pathways in Cardiology: A Journal of Evidence-Based Medicine: September 2014 - Volume 13 - Issue 3 - p 117–127
doi: 10.1097/HPC.0000000000000015
Pathway

Although atrial fibrillation (AF) is the most common cardiac arrhythmia, there is variation in practice with regard to the management of acute AF among the hospitals and even within the same hospital in Oman. This variation likely reflects a lack of high-quality evidence. Standard guidelines and textbooks do not offer clear evidence-based direction for physicians to guide the management of acute AF. Particularly controversial is the issue of using rhythm control or rate control. This stimulated Oman Heart Association (OHA) to issue a simplified protocol for the management of acute AF to be applied by the entire cardiac caregivers all over the country. The priorities for acute management of AF include stabilizing the patient’s hemodynamic status, symptom control, treatment of the underlying and precipitating cause, and more importantly protecting the brain.

From the *Royal Hospital, Ministry of Health, Sultanate of Oman; Sultan Qaboos University Hospital, Muscat, Sultanate of Oman; and Rustaq Hospital, Ministry of Health, Sultanate of Oman.

Reprints: Mohammed H. El-Deeb, Department of Cardiology, Royal Hospital, Muscat, Sultanate of Oman. E-mail: deebcardio@hotmail.com, director@omanheart.org.

© 2014 by Lippincott Williams & Wilkins