6th March 2024

A 63-year-old lady with a background of asthma and CKD III presents to ED with intermittent episodes of palpitations, however this episode is persisting longer than normal and she is breathless.

A 63-year-old lady with a background of asthma and CKD III presents to ED with intermittent episodes of palpitations, however this episode is persisting longer than normal and she is breathless. Her blood pressure is 128/82 mmHg and she is compos mentis. The ECG demonstrates atrial fibrillation with fast ventricular response. Which of the following treatment options is most appropriate as first line? 

Select the SINGLE most appropriate option from the list below. Select ONE option only.