Question

A 72-year-old with new-onset atrial fibrillation presents with hypotension (BP 80/50 mmHg), chest pain and confusion. What is the most appropriate immediate management?

Accepted Answer

Immediate synchronised DC cardioversion

Answer

IV amiodarone loading dose

Answer

Start bisoprolol and observe

Answer

Urgent IV heparin

Answer

Transoesophageal echo then elective cardioversion

Practice question

A 72-year-old with new-onset atrial fibrillation presents with hypotension (BP 80/50 mmHg), chest pain and confusion. What is the most appropriate immediate management?