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Atrial Fibrillation and WPW - Pre-Excitation AFib In pre-excitation + a-fib with RVR: • All AV nodal blocking meds are contraindicated • For rate and/or rhythm control: procainamide or ibutilide • Keep defibrillator at bedside • Cardiology consult (urgency depending on patient's stability) • Low threshold for electrical cardioversion - Dr. Eric Strong @DrEricStrong - Strong Medicine https://www.youtube.com/c/EricsMedi #Atrial #Fibrillation #AFib #WPW #PreExcitation #clinical #ecg #ekg #electrocardiogram #cardiology