Case-Based Modules > Case 24

Very close. There are circumstances where this would be a very reasonable choice. For this patient at this stage, there's another better option. A rate control strategy isn't really needed yet, actually, given her HR is only from the 110s-120s. (Generally speaking, a-fib isn't the cause for an acute hemodynamic decline unless the RVR reaches a HR of ≥ 150. Exceptions include if they have concomitant mitral valve disease, which makes them more dependent on that atrial kick for diastolic filling.) There's something else that's going on with the patient that needs to be addressed.

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