Question

A 60-year-old man with HFrEF (LVEF 25%) is hemodynamically stable in the ED with atrial fibrillation at 140 bpm. BP is 118/72 mm Hg. Which is the best initial rate control agent?

Accepted Answer

Metoprolol tartrate IV bolus

Answer

Diltiazem IV bolus and infusion

Answer

Verapamil IV

Answer

Flecainide IV

Answer

Adenosine IV

Practice question

A 60-year-old man with HFrEF (LVEF 25%) is hemodynamically stable in the ED with atrial fibrillation at 140 bpm. BP is 118/72 mm Hg. Which is the best initial rate control agent?