A 52-year-old patient presents with palpitations. ECG shows atrial fibrillation with a ventricular rate of 120 bpm. He has no other comorbidities, and...

Question

A 52-year-old patient presents with palpitations. ECG shows atrial fibrillation with a ventricular rate of 120 bpm. He has no other comorbidities, and his CHA₂DS₂-VASc score is 1 (for hypertension). What is the next best step in management?

Accepted Answer

Rate control with a beta-blocker

Answer

Start low-molecular-weight heparin

Answer

Immediate DC cardioversion

Answer

Initiate digoxin monotherapy

Answer

Commence amiodarone infusion

NICE Atrial Fibrillation Guideline (NG196) MCQ (SBA): Atrial Fibrillation

A 52-year-old patient presents with palpitations. ECG shows atrial fibrillation with a ventricular rate of 120 bpm. He has no other comorbidities, and his CHA₂DS₂-VASc score is 1 (for hypertension). What is the next best step in management?