A patient has atrial fibrillation of uncertain duration with pulmonary oedema, systolic pressure 76 mm Hg and reduced consciousness. What is the immed...

Question

A patient has atrial fibrillation of uncertain duration with pulmonary oedema, systolic pressure 76 mm Hg and reduced consciousness. What is the immediate management?

Accepted Answer

Give amiodarone after transoesophageal echocardiography

Answer

Give intravenous metoprolol for rate control

Answer

Give intravenous digoxin for rate control

Answer

Start therapeutic anticoagulation before rhythm treatment

Answer

Perform urgent synchronised cardioversion

AF-Hemodynamic Instability — MRCEM SBA MCQ

A patient has atrial fibrillation of uncertain duration with pulmonary oedema, systolic pressure 76 mm Hg and reduced consciousness. What is the immediate management?