Literature Review: when are calcium channel blockers and beta blockers contraindicated in atrial fibillation

Emergency Cardiology Literature Review & Updates with Dr. Amal Mattu


A 39-year-old man is being transported to the ED via EMS with palpitations, malaise, and chest pressure for the last 12 hours. EMS reports that the has severe tachycardia with a normal mental status and otherwise normal vitals. The following ECG is transmitted prior to arrival:

Before watching this week’s video, ask yourself these questions:

  1. What ECG abnormalities do you notice?
  2. What is the rate & rhythm?
  3. EMS requests permission to administer diltiazem to treat suspected atrial fibrillation with RVR. What is your recommended treatment plan?