Question

A 50-year-old with new-onset AF and RVR in HFrEF asks about rate vs rhythm control. What is recommended first?

Accepted Answer

Rate control with β‑blocker; avoid diltiazem/verapamil in HFrEF

Answer

Use diltiazem first-line

Answer

Electrical cardioversion immediately in all

Answer

Amiodarone PO as first-line chronic rate control

Answer

No therapy; AF will resolve

Practice question

A 50-year-old with new-onset AF and RVR in HFrEF asks about rate vs rhythm control. What is recommended first?