with atrial fibrillation around four months ago and started on digoxin 125 mcg od and warfarin. Despite this treatment he still feels his 'heart race' regularly. On examination his pulse is 96 / min irregularly irregular and respiratory examination is unremarkable. What is the most appropriate next step in management?
A.A Switch digoxin for verapamil
B.A Refer for electrical cardioversion
C.A Add amiodarone
D.A Add bisoprolol ***
E.A Make no change to his regular medication but prescribe flecainide as a 'pill in the pocket.
A.A Switch digoxin for verapamil
B.A Refer for electrical cardioversion
C.A Add amiodarone
D.A Add bisoprolol ***
E.A Make no change to his regular medication but prescribe flecainide as a 'pill in the pocket.
Labels
cardiology