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AF rate control — GPhC CRA MCQ

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HardCardiovascular TherapeuticsAF rate controlGPhC CRA

A 76-year-old man with symptomatic non-valvular AF has a resting heart rate of 118 bpm. He has no heart failure, asthma or heart block. The GP asks for a suitable rate-control option. What is the most appropriate alternative?

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Correct answer: D — Bisoprolol fumarate

A beta-blocker such as bisoprolol is a standard option for rate control in AF when there is no contraindication. Amlodipine and nitrates do not control ventricular rate. Flecainide is a rhythm-control antiarrhythmic and requires specialist consideration.

Reference: NICE CKS; BNF