MediumCardiologyAtrial fibrillation rate control with HFrEFau-racpau-amc
A 72-year-old man presents to the emergency department with palpitations and dyspnoea. ECG shows new-onset atrial fibrillation with a ventricular rate of 130 beats/min. Blood pressure is 115/70 mmHg and he is haemodynamically stable. He has hypertension and heart failure with reduced ejection fraction (35%). What is the most appropriate initial rate-control agent?