A 70-year-old man presents with sudden onset palpitations and breathlessness. He is hypotensive (BP 80/40 mmHg), tachycardic at 170 beats/min with an ...

Question

A 70-year-old man presents with sudden onset palpitations and breathlessness. He is hypotensive (BP 80/40 mmHg), tachycardic at 170 beats/min with an irregularly irregular rhythm, confused and clammy. ECG confirms atrial fibrillation. What is the most appropriate immediate management?

Accepted Answer

Immediate synchronised DC cardioversion

Answer

Start intravenous Digoxin

Answer

Start oral Bisoprolol

Answer

Give low molecular weight heparin and observe

Answer

Start Amiodarone infusion and review in 6 hours

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

A 70-year-old man presents with sudden onset palpitations and breathlessness. He is hypotensive (BP 80/40 mmHg), tachycardic at 170 beats/min with an irregularly irregular rhythm, confused and clammy. ECG confirms atrial fibrillation. What is the most appropriate immediate management?