What is so hard about irregularly irregular? Control the rate and then the rhythm. It seems pretty straightforward until is ISN’T. The care and management of your run of the mill A-fibbers is completely differently when your patient has an ejection fraction of less than 10%, has an IAPB, Impella and RPR. Come to this fast-paced and fascinating lecture to learn the truth about what’s normal, what’s not, what works, and what makes things wayyyyyyy worse related to atrial fibrillation management.