Question

A 64-year-old with atrial fibrillation becomes hypotensive (BP 78/46 mm Hg), diaphoretic, and confused; the ECG shows AF with rapid ventricular response. What is the best immediate management?

Accepted Answer

Synchronized electrical cardioversion

Answer

IV diltiazem bolus

Answer

IV metoprolol bolus

Answer

Digoxin loading dose

Answer

Amiodarone infusion

Practice question

A 64-year-old with atrial fibrillation becomes hypotensive (BP 78/46 mm Hg), diaphoretic, and confused; the ECG shows AF with rapid ventricular response. What is the best immediate management?