A 72-year-old with atrial fibrillation becomes hypotensive with chest pain and pulmonary edema. What is the most appropriate immediate management?...

Question

A 72-year-old with atrial fibrillation becomes hypotensive with chest pain and pulmonary edema. What is the most appropriate immediate management?

Accepted Answer

Immediate synchronized electrical cardioversion

Answer

IV diltiazem infusion for rate control

Answer

Start amiodarone infusion and observe

Answer

Begin anticoagulation and delay cardioversion

Answer

Adenosine IV push

us-usmle-step-2 MCQ (SBA): Atrial Fibrillation