This pertains to management in the acute setting is I don’t touch on ablation here or other anti-arrhythmics. Often times patients may have a low blood pressure as afib with RVR will often lower it so I really want to emphasize clinical instability rather than just going off of a blood pressure reading. Rule of thumb you want to avoid calcium channel blockers in patients with heart failure and rate control for all patients not on anti-coagulation. #medicaleducation #medicaltiktok #doctor #medsch