Question

A 55-year-old woman with new-onset atrial fibrillation and heart rate 160 beats/min presents with hypotension, chest pain and pulmonary oedema. What is the most appropriate immediate management?

Accepted Answer

Immediate synchronised electrical cardioversion

Answer

Start intravenous beta-blocker slowly

Answer

Start oral anticoagulation and review later

Answer

Give digoxin only

Answer

No intervention is required; observe

Practice question

A 55-year-old woman with new-onset atrial fibrillation and heart rate 160 beats/min presents with hypotension, chest pain and pulmonary oedema. What is the most appropriate immediate management?