Q:

A 54 year old man comes with sudden onset of palpitations and breathlessness. His heart rate is 164bpm. What is the single most appropriate treatment in the acute phase?

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A 54 year old man comes with sudden onset of palpitations and breathlessness. His heart rate is 164bpm. What is the single most appropriate treatment in the acute phase?


  1. Adenosine
  2. Metaprolol
  3. Verapamil
  4. Amiodarone

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The key is B. Metoprolol. [The arrhythmia where we use acute and chronic phase is AF. This is acute phase of atrial fibrillation for which we use beta-blocker. So the answer should be B. Metoprolol here].

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