A 54-year-old woman presents with sudden onset palpitations and is found to be in atrial fibrillation with rapid ventricular response. Symptoms have b...

Question

A 54-year-old woman presents with sudden onset palpitations and is found to be in atrial fibrillation with rapid ventricular response. Symptoms have been present for 6 hours; she is haemodynamically stable and has CHADS-65 score 0. According to CAEP acute AF best practices, which ED management strategy is appropriate?

Accepted Answer

Rhythm control with electrical or pharmacologic cardioversion in the ED may be offered

Answer

Rate control only; cardioversion is contraindicated

Answer

No treatment; discharge without intervention

Answer

Immediate anticoagulation and defer cardioversion for weeks

Answer

THrombolysis for presumed atrial clot

ca-mccqe1 MCQ (SBA): Acute atrial fibrillation ED management