Question

A 67-year-old with nonvalvular AF, CKD stage 3, and CHA₂DS₂‑VASc 3 presents in rapid AF (HR 150) but normotensive without ischemia. Preferred acute management?

Accepted Answer

IV diltiazem or beta-blocker for rate control and anticoagulate

Answer

Immediate synchronized cardioversion

Answer

Amiodarone infusion first line for rate control

Answer

Aspirin for stroke prevention

Answer

No anticoagulation due to CKD

Practice question

A 67-year-old with nonvalvular AF, CKD stage 3, and CHA₂DS₂‑VASc 3 presents in rapid AF (HR 150) but normotensive without ischemia. Preferred acute management?