A 72-year-old woman presents with sudden onset palpitations and breathlessness. On examination her pulse is irregular at 170 beats per minute, BP is 7...

Question

A 72-year-old woman presents with sudden onset palpitations and breathlessness. On examination her pulse is irregular at 170 beats per minute, BP is 78/48 mmHg, she is clammy and confused. ECG confirms new-onset atrial fibrillation with a rapid ventricular response. What is the most appropriate immediate management?

Accepted Answer

Perform urgent synchronised DC cardioversion

Answer

Start intravenous amiodarone infusion

Answer

Start a beta-blocker for rate control

Answer

Start a direct oral anticoagulant

Answer

Give digoxin intravenously

uk-plab-1 MCQ (SBA): Atrial fibrillation