AF with RVR · When the Rate Isn’t the Problem
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AF with RVR · When the Rate Isn’t the Problem
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Show notes: AF with RVR isn’t always the problem — often it’s a stress signal. Learn how seniors prioritise tolerance, triggers, and escalation.
Episode 2 — AF with RVR · When the Rate Isn’t the Problem
Atrial fibrillation with a fast rate is one of the most common on-call calls — and one of the easiest places to treat the number instead of the physiology.
In this episode, we use a real night-shift style scenario (AF with RVR in a patient with pneumonia) to explore what “tolerating the rhythm” actually means, why “borderline” is not stable, and how senior clinicians look for drivers like hypoxia, infection, dehydration, and myocardial stress before getting stuck in rate-fixation.
You’ll learn:
The first question to ask: stable vs unstable vs uncertain
Why AF is often a stress signal, not the primary diagnosis
Common cognitive traps (fixing the rhythm while the patient deteriorates)
What to prioritise in the first minutes, without relying on protocols
Educational content only — not a substitute for local guidelines or senior clinical advice. For on-call AF frameworks and escalation prompts, visit the AcuteCast app.
https://acute-cast--jgoncalo7.replit.app