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AF begets AF
Just a reminder for myself Recent onset AF may spontaneously resolve in the first 24 hours. However, if more than 48 hours or high risk of stroke , the patient must get anticoagulate before giving any cardioversion. Amiodarone 300 mg 5%D/W 100 ml iv drip in 1 hour then 1mg/min Ottawa protocol aggressively convert all AF less than 48 hours using IV Procainamide and then electrical cardioversion.
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