A 70-year-old with AF and CHA₂DS₂-VASc 6 has a single syncopal episode and bradycardia on β-blocker. Rate control alternative?...

Question

A 70-year-old with AF and CHA₂DS₂-VASc 6 has a single syncopal episode and bradycardia on β-blocker. Rate control alternative?

Accepted Answer

Consider digoxin for resting rate control if HFrEF and hypotension limit β-blocker

Answer

Stop β-blocker and use verapamil in HFrEF

Answer

Switch to diltiazem in HFrEF

Answer

No rate control needed

Answer

Increase β-blocker dose

us-abim MCQ (SBA): AF-Rate Control in HFrEF