Question

A 70-year-old with nonvalvular AF presents after 30 hours of AF with hypotension, altered mentation, and ischemic chest pain. Best immediate management?

Accepted Answer

Immediate synchronized cardioversion

Answer

IV amiodarone infusion and observe

Answer

Metoprolol IV for rate control only

Answer

Start heparin and delay cardioversion 24 hours

Answer

Magnesium infusion only

Practice question

A 70-year-old with nonvalvular AF presents after 30 hours of AF with hypotension, altered mentation, and ischemic chest pain. Best immediate management?