Question

A 76-year-old man admitted with pneumonia develops new-onset atrial fibrillation with rapid ventricular response (HR 150/min). He is hypotensive (BP 80/50 mmHg) and confused. What is the MOST appropriate immediate management?

Accepted Answer

Immediate synchronized electrical cardioversion

Answer

Start oral beta blocker

Answer

Start IV amiodarone infusion without other measures

Answer

Start digoxin orally

Answer

Observe; AF is often transient in sepsis

Practice question

A 76-year-old man admitted with pneumonia develops new-onset atrial fibrillation with rapid ventricular response (HR 150/min). He is hypotensive (BP 80/50 mmHg) and confused. What is the MOST appropriate immediate management?