A 72-year-old man with a history of hypertension and chronic kidney disease (eGFR 42 mL/min/1.73 m²) presents with new-onset palpitations and breathle...

Question

A 72-year-old man with a history of hypertension and chronic kidney disease (eGFR 42 mL/min/1.73 m²) presents with new-onset palpitations and breathlessness. ECG shows atrial fibrillation with a ventricular rate of 130 bpm. He is haemodynamically stable. Which is the most appropriate first-line rate control strategy in primary care?

Accepted Answer

Bisoprolol

Answer

Verapamil MR

Answer

Diltiazem MR

Answer

Digoxin monotherapy

Answer

Amiodarone

ukmla MCQ (SBA): Atrial fibrillation (rate control)