Question

A 74-year-old man with newly diagnosed non-valvular atrial fibrillation (rate 135 bpm) is haemodynamically stable and asymptomatic. Echocardiogram is pending. What is the most appropriate initial management in primary care today?

Accepted Answer

Start bisoprolol for rate control

Answer

Arrange urgent electrical cardioversion

Answer

Start flecainide for rhythm control

Answer

No treatment until echo result

Answer

Start amiodarone

Practice question

A 74-year-old man with newly diagnosed non-valvular atrial fibrillation (rate 135 bpm) is haemodynamically stable and asymptomatic. Echocardiogram is pending. What is the most appropriate initial management in primary care today?