Question

A 68-year-old with AF and EF 30% is on carvedilol, sacubitril/valsartan, spironolactone, and apixaban. Resting HR 98 bpm. Which rate-control target is appropriate?

Accepted Answer

Lenient control <110 bpm at rest is reasonable if asymptomatic

Answer

Strict <60 bpm at rest in all

Answer

<80 bpm only if symptomatic

Answer

No rate control if on anticoagulation

Answer

Target <50 bpm during exercise

Practice question

A 68-year-old with AF and EF 30% is on carvedilol, sacubitril/valsartan, spironolactone, and apixaban. Resting HR 98 bpm. Which rate-control target is appropriate?