Question

A 36-year-old with HFrEF and chronic AF requests a rate-control plan. Resting HR is 112 bpm, EF 30%, BP 118/72. Which approach is preferred?

Accepted Answer

Beta-blocker titration to guideline doses

Answer

Digoxin alone as first-line

Answer

Non-dihydropyridine CCB monotherapy

Answer

Amiodarone first-line for rate control

Answer

Ivabradine for rate control in AF

Practice question

A 36-year-old with HFrEF and chronic AF requests a rate-control plan. Resting HR is 112 bpm, EF 30%, BP 118/72. Which approach is preferred?