A 57-year-old man presents to the Emergency Department with palpitations for the past 36 hours. He has no past history of note. There is no associated chest pain or shortness of breath. Clinical examination is unremarkable other than an irregular tachycardia. An ECG shows atrial fibrillation at a rate of 126 bpm with no other changes. What is the most appropriate management?
A.A Beta-blocker + warfarin
B.A Immediate cardioversion in the Emergency Department
C.A Heparinise + transthoracic echo followed by electrical cardioversion during admission***
D.A Beta-blocker + aspirin
E.A Warfarinise + transthoracic echo with elective elec trical cardioversion in 4 weeks.
A.A Beta-blocker + warfarin
B.A Immediate cardioversion in the Emergency Department
C.A Heparinise + transthoracic echo followed by electrical cardioversion during admission***
D.A Beta-blocker + aspirin
E.A Warfarinise + transthoracic echo with elective elec trical cardioversion in 4 weeks.
Labels
cardiology