Question

A 63-year-old with HFrEF (LVEF 30%) presents to the ED with AF with rapid ventricular response (HR 150), BP 128/78, no chest pain or hypotension. Best initial rate control?

Accepted Answer

Metoprolol tartrate IV

Answer

Amiodarone IV bolus

Answer

Diltiazem IV bolus then infusion

Answer

Verapamil IV

Answer

Digoxin as sole first-line therapy

Practice question

A 63-year-old with HFrEF (LVEF 30%) presents to the ED with AF with rapid ventricular response (HR 150), BP 128/78, no chest pain or hypotension. Best initial rate control?