A 27-year-old woman presents with weight loss, tremor and palpitations. She has a diffuse goitre and biochemical evidence of thyrotoxicosis. She also ...

Question

A 27-year-old woman presents with weight loss, tremor and palpitations. She has a diffuse goitre and biochemical evidence of thyrotoxicosis. She also has new-onset atrial fibrillation with a ventricular rate of 130 beats/min but is haemodynamically stable. What is the most appropriate immediate pharmacological management of her atrial fibrillation?

Accepted Answer

Start a beta-blocker such as propranolol

Answer

Start digoxin monotherapy

Answer

Give intravenous amiodarone

Answer

Urgent DC cardioversion

Answer

Start warfarin immediately without rate control

uk-plab-1 MCQ (SBA): Thyrotoxic atrial fibrillation