A 70-year-old with paroxysmal AF and normal EF presents with symptomatic RVR (HR 150) and decompensated HF. BP 92/58 mm Hg. Best immediate rate/rhythm...

Question

A 70-year-old with paroxysmal AF and normal EF presents with symptomatic RVR (HR 150) and decompensated HF. BP 92/58 mm Hg. Best immediate rate/rhythm control?

Accepted Answer

IV amiodarone infusion

Answer

IV diltiazem bolus

Answer

IV metoprolol bolus

Answer

Oral digoxin loading

Answer

Electrical cardioversion contraindicated

us-abem MCQ (SBA): Atrial Fibrillation (Acute Management)

A 70-year-old with paroxysmal AF and normal EF presents with symptomatic RVR (HR 150) and decompensated HF. BP 92/58 mm Hg. Best immediate rate/rhythm control?