A 62-year-old woman on ICU develops new-onset atrial fibrillation with a ventricular rate of 150 bpm. She has been treated for septic shock for 48 hou...

Question

A 62-year-old woman on ICU develops new-onset atrial fibrillation with a ventricular rate of 150 bpm. She has been treated for septic shock for 48 hours. Current MAP is 70 mmHg on noradrenaline 0.1 mcg/kg/min. She has no history of cardiac disease. What is the most appropriate rate-control strategy?

Accepted Answer

IV amiodarone 300 mg over 30 minutes followed by an infusion

Answer

IV metoprolol 5 mg bolus repeated as required

Answer

IV digoxin 500 mcg loading dose

Answer

DC cardioversion at 120J biphasic

Answer

IV diltiazem 0.25 mg/kg over 2 minutes

uk-fficm MCQ (SBA): New-onset Atrial Fibrillation in Sepsis