SGEM#244: Magnesium AF

Trials extracted from the podcast by Dr. Ken Milne

• 2019LOMAGHIElectrophysiology & AFIn450 emergency department patients with rapid atrial fibrillation,intravenous magnesium added to AV nodal blockersimproved4-hour rate controlcompared withplacebo.
• 2015Diltiazem vs. Metoprolol in the Management of Atrial Fibrillation or Flutter with Rapid Ventricular Rate in the Emergency DepartmentElectrophysiology & AFIn 52 emergency department patients with atrial fibrillation or flutter and rapid ventricular rate, diltiazem achieved heart rate control at 30 minutes more often than metoprolol.
• 2010Association of the Ottawa Aggressive Protocol with rapid discharge of emergency department patients with recent-onset atrial fibrillation or flutterElectrophysiology & AFIn660 emergency department visits for recent-onset atrial fibrillation or flutter, protocolisedprocainamide followed by electrical cardioversion if neededallowed96.8% discharge home, 93.3% in sinus rhythm