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+--- Thread: q2 - ulise (/showthread.php?tid=174769)
q2 - ulise - ArchivalUser - 03-29-2007
A 35 year old patient with mild mitral stenosis has atrial fibrillation. She presents unwell with fast AF and was DC cardioverted successfully. Which of the following medications is most effective for maintenance of sinus rhythm?
A. Digoxin
B. Amiodarone
C. Atenolol
D. Diltiazem
E. Labetalol
0 - ArchivalUser - 03-29-2007
ddd
0 - ArchivalUser - 03-29-2007
maybe c
0 - ArchivalUser - 03-29-2007
not sure, for maintenance of sinus rhythm, d or b
maybe, k blockers, amiodarone
0 - ArchivalUser - 03-29-2007
other opinions?
0 - ArchivalUser - 03-29-2007
both b and d seem rite but amiodarone has more adverse eff...so dd
0 - ArchivalUser - 03-29-2007
change to C. Atenolol
0 - ArchivalUser - 03-29-2007
Answer: b) amiodarone. Amiodarone is most effective for maintenance of sinus rhythm. However, because of its side effect profile, in a young patient, it is usually worth trying a beta blocker or calcium blocker before treating with amiodarone.
0 - ArchivalUser - 03-30-2007
thx