Practice question

Answer the question and get instant feedback.

ModerateCardiovascularAtrial fibrillation – rate controluk-plab-1

A 75-year-old woman with a history of atrial fibrillation presents with palpitations and mild shortness of breath. Her ECG confirms atrial fibrillation with a ventricular rate of 135 beats/min. She is haemodynamically stable with BP 128/76 mmHg and no chest pain. She has no evidence of heart failure. What is the most appropriate initial pharmacological management?

Educational content. Not a substitute for clinical judgement or local policy.