Atrial Fibrillation: Current Therapies

Vet Clin North Am Small Anim Pract. 2017 Sep;47(5):977-988. doi: 10.1016/j.cvsm.2017.04.002. Epub 2017 Jun 20.

Abstract

A rate control, or a rhythm control, strategy can be applied to the management of atrial fibrillation. Rate control of atrial fibrillation consists of decreasing the ventricular response rate by limiting the number of supraventricular impulses that can travel through the atrioventricular node. The goal of decreasing heart rate in dogs with atrial fibrillation is usually achieved with a combination of the calcium channel blocker diltiazem and digoxin. Rhythm control of atrial fibrillation encompasses pharmacologic and nonpharmacologic methods to terminate the arrhythmia and restore sinus rhythm. Transthoracic synchronized electrical cardioversion is commonly used to stop atrial fibrillation.

Keywords: Antiarrhythmic; Arrhythmia; Canine; Cardioversion; Tachycardia.

Publication types

  • Review

MeSH terms

  • Animals
  • Atrial Fibrillation / therapy
  • Atrial Fibrillation / veterinary*
  • Calcium Channel Blockers / therapeutic use*
  • Dog Diseases / therapy*
  • Dogs
  • Electric Countershock / veterinary*

Substances

  • Calcium Channel Blockers