By vgreene, 15 January, 2015 If postcoronary revasc (PCI/surg): reasonable to add clopidogrel 75 mg/day (not aspirin) to anticoagulant [IIb/B]
By vgreene, 15 January, 2015 If drug rate control inadequate/sx persist, use rhythm control.<sup>9</sup> If drug tx inadequate and rhythm control not achievable: AV-node ablation<sup>9</sup> + pacing [IIa/B]
By vgreene, 15 January, 2015 If HF w/ rest/exercise HR not controlled w/ BB, CCB (in HFpEF) or digoxin (alone or combined): consider amiodarone<sup>8</sup> [IIb/C]
By vgreene, 15 January, 2015 If BB/CCB failure/intolerance, use digoxin/combos:8 Digoxin effective to control resting HR in HFrEF [I/C]. Combine BB w/other drugs, including digoxin; titrate to avoid bradycardia. Digoxin may be combined w/ BB or CCB [IIa/B] including for HF pts (avo
By vgreene, 15 January, 2015 BB or non-DHP-CCB (diltiazem/verapamil)8 is 1st line [I/B]. If COPD, CCB [I/C]; if hyperthyroid, BB preferred [I/C], if cannot be used, then CCB [I/C]; if systolic HF, BB. Resting goal HR ≤80 [IIa/B]; if asymptomatic w/preserved LV systolic fxn, consi