Question

A 72-year-old with HFrEF (EF 25%) and atrial fibrillation has RVR at 140 bpm but is hemodynamically stable. Which rate-control option is preferred acutely?

Accepted Answer

IV metoprolol tartrate titrated to rate

Answer

IV diltiazem bolus and infusion

Answer

IV verapamil

Answer

Immediate digoxin loading avoided in HFrEF

Answer

Immediate synchronized cardioversion without trying rate control

Practice question

A 72-year-old with HFrEF (EF 25%) and atrial fibrillation has RVR at 140 bpm but is hemodynamically stable. Which rate-control option is preferred acutely?