Question

A 50-year-old with newly diagnosed AF is hemodynamically unstable (SBP 78 mm Hg, pulmonary edema). What is the immediate management?

Accepted Answer

Synchronized direct-current cardioversion

Answer

Start IV diltiazem

Answer

Start IV amiodarone and wait

Answer

Give adenosine

Answer

Observe with fluids only

Practice question

A 50-year-old with newly diagnosed AF is hemodynamically unstable (SBP 78 mm Hg, pulmonary edema). What is the immediate management?