A 28-year-old woman presents with palpitations and anxiety. Her ECG shows atrial fibrillation with a ventricular rate of 140 bpm. She has no structura...

Question

A 28-year-old woman presents with palpitations and anxiety. Her ECG shows atrial fibrillation with a ventricular rate of 140 bpm. She has no structural heart disease and is haemodynamically stable. According to contemporary AF management guidelines, what is the most appropriate immediate management?

Accepted Answer

Rate control with beta-blocker or calcium channel blocker and assess stroke risk

Answer

Immediate DC cardioversion in all cases

Answer

Start digoxin alone as first-line

Answer

No treatment is needed if she is young

Answer

Start dual antiplatelet therapy instead of anticoagulation

ca-mccqe1 MCQ (SBA): Atrial fibrillation rate control