Question

A 76-year-old with AF with rapid ventricular response (HR 150/min) presents hypotensive at 88/56 mm Hg with acute decompensated HFrEF (EF 25%). What is the best initial rate-control strategy?

Accepted Answer

IV amiodarone infusion

Answer

IV diltiazem infusion

Answer

IV verapamil

Answer

Increase home metoprolol to high dose

Answer

Immediate synchronized cardioversion is unnecessary

Practice question

A 76-year-old with AF with rapid ventricular response (HR 150/min) presents hypotensive at 88/56 mm Hg with acute decompensated HFrEF (EF 25%). What is the best initial rate-control strategy?