Author ORCID Identifier




Introduction: Atrial fibrillation remains a pervasive global health concern, contributing significantly to the incidence of stroke, heart failure, sudden death, and overall cardiovascular morbidity.

Materials and methods: The present study undertook a retrospective analysis involving a meticulous examination of 127 patients, representing a diverse cohort of individuals encompassing 73 men (with a median age of 62 and a range of 37-75) and 54 women (with a median age of 60 and a range of 42-78) duration of atrial fibrillation 48 hours or less.

Results: The results highlighted amiodarone's remarkable efficiency, as it successfully converted 81.2% of cases (56 out of 69 patients) to sinus rhythm. In comparison, propafenone also demonstrated considerable efficacy, converting 78.8% of cases (26 out of 33 patients) to sinus rhythm. the most striking results were observed with electrical cardioversion, achieving an impressive 96.0% success rate (24 out of 25 patients). (p

Conclusion: In conclusion, the combination of amiodarone, propafenone, and electrical cardioversion offers an array of effective tools for restoring sinus rhythm in patients with atrial fibrillation. To further enhance patient care, medical practitioners should prioritize the consideration of atrial fibrillation duration when deciding on the most appropriate treatment plan within the emergency department.

Publication Date



Mihails Tracevskis, Assoc. Prof. Irina Pupkeviča

First Page


Last Page


Conflict of Interest

Authors declare no conflict of interest.


atrial fibrillation, sinus rhythm, treatment

Word Count


Creative Commons License

Creative Commons License
This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 4.0 License.



To view the content in your browser, please download Adobe Reader or, alternately,
you may Download the file to your hard drive.

NOTE: The latest versions of Adobe Reader do not support viewing PDF files within Firefox on Mac OS and if you are using a modern (Intel) Mac, there is no official plugin for viewing PDF files within the browser window.