Atrial fibrillation emergency room management

Rate control
Options included IV diltiazem or IV beta blockade.

Anticoagulation
Intravenous heparin with transition to coumadin if they do not convert.

Conversion
Medical or electrical conversion can be considered if the onset of the event was recent.

Prognosis
There is a 50-60% chance of spontaneous conversion in the first 24 hours.