Your patient with atrial fibrillation (AF)
is hemodynamically stable and you
have successfully established rate control.
Your next step is to weigh the
risks and benefits of attempting to restore
sinus rhythm. In up to one half of
patients, AF of recent onset converts
spontaneously to normal sinus rhythm
within 24 hours. Thus, in some cases,
the most appropriate approach may
be to control the ventricular response,
identify and treat comorbid conditions,
initiate anticoagulation, and closely
monitor the patient.