Question

A 60-year-old with HFrEF (LVEF 30%) presents with atrial fibrillation and rapid ventricular response at 140/min. BP 110/70, no pulmonary edema. Which agent is recommended for acute rate control?

Accepted Answer

IV metoprolol tartrate in small doses

Answer

IV diltiazem bolus then infusion

Answer

IV verapamil bolus

Answer

Adenosine rapid bolus

Answer

Amiodarone only if QTc more than 500 ms

Practice question

A 60-year-old with HFrEF (LVEF 30%) presents with atrial fibrillation and rapid ventricular response at 140/min. BP 110/70, no pulmonary edema. Which agent is recommended for acute rate control?