Question

A 72-year-old man with HFrEF (LVEF 25%), dyspnoea, and palpitations has atrial fibrillation with ventricular rate 150/min and blood pressure 118/72 mm Hg. He is euvolaemic and not in distress. Which is the most appropriate initial rate-control therapy?

Accepted Answer

Intravenous metoprolol

Answer

Intravenous diltiazem

Answer

Intravenous amiodarone

Answer

Digoxin loading dose only

Answer

Electrical cardioversion

Practice question

A 72-year-old man with HFrEF (LVEF 25%), dyspnoea, and palpitations has atrial fibrillation with ventricular rate 150/min and blood pressure 118/72 mm Hg. He is euvolaemic and not in distress. Which is the most appropriate initial rate-control therapy?