Question

A 73-year-old man with heart failure with reduced ejection fraction (HFrEF) and chronic atrial fibrillation (AF) has a heart rate of 84 beats per minute on a maximised beta-blocker. He remains symptomatic with a reduced ejection fraction of 30%. What is the preferred rate control strategy?

Accepted Answer

Add digoxin as needed for rate control

Answer

Add ivabradine

Answer

AV nodal ablation with CRT in all

Answer

No change

Answer

Amiodarone for chronic rate control

Practice question

A 73-year-old man with heart failure with reduced ejection fraction (HFrEF) and chronic atrial fibrillation (AF) has a heart rate of 84 beats per minute on a maximised beta-blocker. He remains symptomatic with a reduced ejection fraction of 30%. What is the preferred rate control strategy?