Question

A 76-year-old with nonvalvular AF presents with rapid ventricular response (HR 150) but is hemodynamically stable and has HFrEF (EF 30%). Best initial rate control?

Accepted Answer

IV metoprolol

Answer

IV diltiazem

Answer

IV verapamil

Answer

Adenosine 6 mg

Answer

Digoxin 0.25 mg IV as sole first step

Practice question

A 76-year-old with nonvalvular AF presents with rapid ventricular response (HR 150) but is hemodynamically stable and has HFrEF (EF 30%). Best initial rate control?