A 85-year-old woman with a CFS of 6 has been admitted to hospital following a fall. She is found to have atrial fibrillation with a ventricular rate o...

Question

A 85-year-old woman with a CFS of 6 has been admitted to hospital following a fall. She is found to have atrial fibrillation with a ventricular rate of 124 bpm. She is haemodynamically stable. She has no heart failure. This is a new diagnosis. According to NICE NG196, what is the MOST appropriate initial management of her heart rate?

Accepted Answer

Start rate control with a beta-blocker (e.g., Bisoprolol 2.5 mg)

Answer

Immediate DC cardioversion

Answer

Start Amiodarone 200 mg TDS

Answer

Start Flecainide for rhythm control

Answer

Give intravenous Adenosine

uk-dgm MCQ (SBA): New AF - Initial Rate Control