A 68-year-old woman with a history of hypertension presents with palpitations and breathlessness. An ECG confirms atrial fibrillation with a ventricul...

Question

A 68-year-old woman with a history of hypertension presents with palpitations and breathlessness. An ECG confirms atrial fibrillation with a ventricular rate of 140 bpm. Her blood pressure is 130/85 mmHg. She has no history of heart failure or asthma. What is the most appropriate initial treatment for rate control?

Accepted Answer

Bisoprolol 5mg orally

Answer

Digoxin 500mcg IV STAT

Answer

Amiodarone 300mg IV infusion

Answer

Flecainide 100mg orally

Answer

Synchronised DC cardioversion

ukmla MCQ (SBA): Atrial Fibrillation