Question

A 55-year-old man with a history of hypertension complains of recurrent episodes of palpitations. A 12-lead ECG shows atrial fibrillation (AF) with a rapid ventricular rate. He has no other significant past medical history. According to NICE, what is the next best step in management?

Accepted Answer

Rate control with a beta-blocker

Answer

Immediate electrical cardioversion

Answer

Anticoagulation with low-dose aspirin

Answer

Routine ablation therapy

Answer

AV node ablation with pacemaker insertion

Practice question

A 55-year-old man with a history of hypertension complains of recurrent episodes of palpitations. A 12-lead ECG shows atrial fibrillation (AF) with a rapid ventricular rate. He has no other significant past medical history. According to NICE, what is the next best step in management?