Scenario
A 53 year old previously well man presents with a 6 hour history of palpitations. He is otherwise asymptomatic.
His vitals signs are:
ECG reveals atrial fibrillation with a rate of 130 /minute. His assessment does not reveal a cause for his arrhythmia.
Question
Discuss the management options for this patient. (100%)
Answer
FACEM SAQ Exam 2009.1 – Question 7
- The overall pass rate for this question was 60/81 (74.1%).
- Pass Criteria
- Pass criteria were addressing the options of no treatment, rate control, cardioversion
(chemical/electrical) and anticoagulation.- Features of unsuccessful answers
- Poor answers failed to discuss these issues in the context of this presentation or missed a major criterion altogether.

















