A 67-year-old with nonvalvular AF, CKD stage 3, and CHA₂DS₂‑VASc 3 presents in rapid AF (HR 150) but normotensive without ischemia. Preferred acute ma...

Question

A 67-year-old with nonvalvular AF, CKD stage 3, and CHA₂DS₂‑VASc 3 presents in rapid AF (HR 150) but normotensive without ischemia. Preferred acute management?

Accepted Answer

IV diltiazem or beta-blocker for rate control and anticoagulate

Answer

Immediate synchronized cardioversion

Answer

Amiodarone infusion first line for rate control

Answer

Aspirin for stroke prevention

Answer

No anticoagulation due to CKD

us-abem MCQ (SBA): Atrial Fibrillation-Acute Rate Control

A 67-year-old with nonvalvular AF, CKD stage 3, and CHA₂DS₂‑VASc 3 presents in rapid AF (HR 150) but normotensive without ischemia. Preferred acute management?