Atrial fibrillation with rapid response

Educational use only. Not clinically reviewed

69-year-old woman for Stable rapid atrial-fibrillation reassessment. About 8 simulated minutes.

What you will practise

Reconcile the authored irregular narrow-complex rhythm report with current hemodynamics, perfusion, ischemia, and heart-failure features.
Review symptom and rhythm duration, prior AF, adherence, comorbidities, ventricular function, and reversible contributors.
Record patient-specific acute rate-control intent using stability, ventricular function, comorbidity, contraindications, and symptoms.
Review validated thromboembolic risk, bleeding context, preferences, and cardioversion implications separately from rate control.
Reassess rhythm, rate, pressure, symptoms, perfusion, and heart failure, then record monitoring and longitudinal ownership.

Review and sources

Not clinically reviewed. No clinician has signed this scenario.

Joglar JA, Chung MK, Armbruster AL, et al. 2023 ACC/AHA/ACCP/HRS Guideline for the Diagnosis and Management of Atrial Fibrillation. Circulation. 2024;149:e1-e156. PMID:38033089. doi:10.1161/CIR.0000000000001193.
Chyou JY, Barkoudah E, Dukes JW, et al. Atrial Fibrillation Occurring During Acute Hospitalization: A Scientific Statement From the American Heart Association. Circulation. 2023;147:e676-e698. PMID:36912134. doi:10.1161/CIR.0000000000001133.

Open Sim Lab is an educational simulator, not for clinical use. It is not a clinical decision-support tool, not a dosing calculator, and is not validated for any decision affecting a real patient.