beta blockers in rate control for atrial fibrillation

Last reviewed 05/2021

Beta Blockers for Rate Control in Atrial Fibrillation (1)

Usual oral maintenance dose
Bisoprolol 2.5-10 mg o.d.
Atenolol 25-100 mg o.d.
Propranolol 10-40 mg t.i.d.
Carvedilol 3.125-25 mg b.i.d.

Notes:

  • beta-1 selective blockers (e.g. bisoprolol) in small doses should be considered as an alternative for ventricular rate control in patients with chronic lung disease (1)

Reference:

  • (1) Task Force for the Management of Atrial Fibrillation of the European Society of Cardiology (ESC). Guidelines for the management of atrial fibrillation. European Heart Journal (2010) 31, 2369-2429.