Intravenous diltiazem versus metoprolol for atrial fibrillation with rapid ventricular rate: A meta-analysis. ischemia, metabolic or endocrine abnormalities, pulmonary embolism, heart failure or sepsis), and be sure to treat the underlying cause. So, what? This study suggests that while efficacy is similar at 120 minutes, IV diltiazem works more quickly than IV metoprolol for treatment of AF RVR in the ED.Īs always, remember to use caution with rate-controlling agents in patients with secondary causes of AF RVR (e.g.
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