A 48-year-old man is found to have an irregularly irregular pulse during his annual physical examina

Discussion in 'Step 3' started by samuel, Dec 13, 2014.

  1. samuel

    samuel New Member

    A 48-year-old man is found to have an irregularly irregular pulse during his annual physical examination. The patient has no current complaints and is unaware of his irregular pulse. He does not have chest pain or any noticeable palpitations. An electrocardiogram is ordered and shows atrial fibrillation with a ventricular rate of approximately 86/min. Aside from asthma requiring occasional use of an albuterol inhaler, he has no significant past medical history. The rest of his physical examination is unremarkable. His other vital signs are within normal limits. At this time, which of the following is an appropriate outpatient pharmacotherapy to consider?
    A. Amiodarone
    B. Aspirin
    C. Digoxin
    D. Metoprolol
    E. Warfarin

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