Cardiology

Critically Appraised Topic: Is Diltiazem or Metoprolol more effective at obtaining rate control in patients who present to the ED in Afib with RVR?

Dr. Fieles discusses which rate control agent is more effective for Atrial Fibrillation in the Emergency Department. 

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Treatment of Hypertensive Emergencies

Last week, we briefly defined hypertensive emergency as acute blood pressure elevation (SBP >180 and/or DBP>120) with evidence of end-organ damage. (Remember, hypertensive urgency is the same blood pressure elevation without end-organ damage).  Once we have identified a hypertensive emergency, what are our best treatment options? Below is a quick guide (not comprehensive) to some go-to options.

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