ukmla MCQ (SBA): Atrial Fibrillation Rate Control

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MediumCardiologyAtrial Fibrillation Rate Controlukmlamrcp part 1mrcem sbapaneprescribing safety assessment

A 76-year-old man is admitted with pneumonia. He has a history of heart failure (LVEF 35%). On day 3, he develops rapid atrial fibrillation with a heart rate of 140 bpm. His blood pressure is 110/70 mmHg. He is symptomatic with palpitations and mild shortness of breath. ECG confirms AF, no acute ischaemic changes. What is the most appropriate initial pharmacological agent for rate control?

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