uk-plab-1 MCQ (SBA): Atrial fibrillation with haemodynamic instability

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EasyCardiovascularAtrial fibrillation with haemodynamic instabilityuk-plab-1

A 70-year-old man develops sudden palpitations and breathlessness on the ward. Observations: HR 180 bpm irregularly irregular, BP 80/50 mmHg, RR 28/min, SpO2 92% on air, he is clammy and confused. ECG confirms atrial fibrillation with a rapid ventricular response. What is the most appropriate immediate management?

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uk-plab-1 MCQ: Atrial fibrillation with haemodynamic instability — Ans