Antiarrhythmic Drug Use in Ischemic Heart Disease

Written on behalf of the Sanger Heart and Vascular Education Group

A 73-year-old male patient with a known ischemic cardiomyopathy and ejection fraction of 30% has been having heart palpitations for about a month before scheduling an appointment with his primary cardiologist. At his visit, his electrocardiogram reveals new-onset atrial fibrillation (AF).

When thinking about the appropriate use of antiarrhythmics in this case, which of the following is true?

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