Role of clonidine in perioperative acute atrial fibrillation

We report a case of acute onset atrial fibrillation [AF] that presented for emergency surgery where rate control and sinus rhythm were successfully achieved using clonidine. Patient had acute AF with high blood pressure. Metoprolol failed to decrease the ventricular rate and blood pressure but with clonidine, we could achieve both the goals. Also, rhythm reverted to a sinus rhythm and continued to be in sinus rhythm after administering clonidine