Question

A 77-year-old with atrial fibrillation develops hypotension, chest discomfort, and altered mentation. ECG shows AF with RVR at 180/min. Best next step?

Accepted Answer

Perform immediate synchronized direct-current cardioversion

Answer

Begin IV heparin and schedule TEE-guided cardioversion

Answer

Start IV diltiazem infusion to control rate

Answer

Administer IV amiodarone and observe

Answer

Give IV digoxin

Practice question

A 77-year-old with atrial fibrillation develops hypotension, chest discomfort, and altered mentation. ECG shows AF with RVR at 180/min. Best next step?