Question

A 66-year-old with CHA₂DS₂-VASc 5 presents with AF and RVR (HR 140) and decompensated HFrEF (LVEF 25%). Which acute rate-control agent is preferred?

Accepted Answer

Metoprolol tartrate IV small boluses with careful monitoring

Answer

Diltiazem IV bolus/infusion

Answer

Verapamil IV

Answer

Digoxin loading only

Answer

Amiodarone as first-line in all AF with HFrEF

Practice question

A 66-year-old with CHA₂DS₂-VASc 5 presents with AF and RVR (HR 140) and decompensated HFrEF (LVEF 25%). Which acute rate-control agent is preferred?