A 72 year old man with permanent atrial fibrillation presents with palpitations but is haemodynamically stable. ECG confirms AF with a ventricular rat...

Question

A 72 year old man with permanent atrial fibrillation presents with palpitations but is haemodynamically stable. ECG confirms AF with a ventricular rate of 130 beats/min. There is no heart failure or pre excitation. Which of the following is the most appropriate first line strategy to control his ventricular rate?

Accepted Answer

Oral beta blocker such as metoprolol

Answer

Intravenous amiodarone

Answer

Oral digoxin monotherapy in a fit ambulant patient

Answer

Immediate DC cardioversion

Answer

No treatment is required if asymptomatic

au-amc MCQ (SBA): AF rate control in stable patient