A 78-year-old with symptomatic atrial fibrillation (rate 130 bpm) and preserved LV function has no heart failure or haemodynamic instability. What is ...

Question

A 78-year-old with symptomatic atrial fibrillation (rate 130 bpm) and preserved LV function has no heart failure or haemodynamic instability. What is the preferred initial strategy?

Accepted Answer

Rate control with a beta-blocker

Answer

Rhythm control with amiodarone

Answer

Immediate DC cardioversion for all AF

Answer

Start digoxin as monotherapy in all patients

Answer

No treatment is needed

mrcgp akt MCQ (SBA): Atrial fibrillation – initial management

A 78-year-old with symptomatic atrial fibrillation (rate 130 bpm) and preserved LV function has no heart failure or haemodynamic instability. What is the preferred initial strategy?