A 76-year-old woman with a history of hypertension presents with palpitations and shortness of breath for 2 days. ECG shows atrial fibrillation with a...

Question

A 76-year-old woman with a history of hypertension presents with palpitations and shortness of breath for 2 days. ECG shows atrial fibrillation with a ventricular rate of 140 bpm. Her blood pressure is 130/78 mmHg and she has no chest pain or features of heart failure. What is the most appropriate initial pharmacological strategy to control her heart rate?

Accepted Answer

Start oral Bisoprolol

Answer

Arrange immediate DC cardioversion

Answer

Start intravenous Amiodarone infusion

Answer

Prescribe oral Flecainide

Answer

Start Digoxin monotherapy

uk-plab-1 MCQ (SBA): Atrial fibrillation