Question

A 35-year-old has a single episode of syncope; ECG shows AF with RVR 150 bpm. Haemodynamically stable. Which is preferred initial strategy?

Accepted Answer

Rate control with AV nodal blocker (e.g., diltiazem or β-blocker)

Answer

Electrical cardioversion immediately without anticoagulation

Answer

Amiodarone infusion first-line in all AF

Answer

Digoxin monotherapy in active patient

Answer

Aspirin alone

Practice question

A 35-year-old has a single episode of syncope; ECG shows AF with RVR 150 bpm. Haemodynamically stable. Which is preferred initial strategy?