Question

A 70-year-old with AF and normal EF presents with chest pain. ECG shows new AF, rate 130, no ST elevation. Hemodynamically unstable with hypotension 80/50. Best immediate management?

Accepted Answer

Synchronized electrical cardioversion

Answer

IV diltiazem bolus and drip

Answer

Adenosine IV

Answer

IV beta-blocker trial first

Answer

Amiodarone PO

Practice question

A 70-year-old with AF and normal EF presents with chest pain. ECG shows new AF, rate 130, no ST elevation. Hemodynamically unstable with hypotension 80/50. Best immediate management?