Oral dofetilide or intravenous ibutilide is useful for acute pharmacological cardioversion in patients with<unk><unk> . Intravenous or oral beta blockers, diltiazem, or verapamil are useful for acute rate control in patients with<unk><unk>  who are hemodynamically stable. Elective synchronized cardioversion is indicated in stable patients with well-tolerated<unk><unk>  when a rhythm-control strategy is pursued. Rapid<unk>  pacing is useful for acute conversion of<unk><unk>  in patients who have pacing wires in place as part of a permanent pacemaker or implantable cardioverter-defibrillator or for temporary<unk>  pacing after cardiac surgery. Acute antithrombotic therapy is recommended in patients with<unk><unk>  to align with recommended antithrombotic therapy for patients with AF. Catheter ablation of the CTI (cavotricuspid isthmus) is useful in patients with<unk><unk>  that is either symptomatic or refractory to pharmacological rate control. Beta blockers, diltiazem, or verapamil are useful to control the ventricular rate in patients with hemodynamically tolerated<unk><unk> .  Amiodarone, Dofetilide, and [[Sotalol] can be useful to maintain sinus rhythm in patients with symptomatic, recurrent<unk><unk> , with the drug choice depending on underlying heart disease and comorbidities.
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