1 MCQs in Medicine for NEET PG
A 48-year-old woman with known mitral stenosis (MS) presents to the emergency department with acute-onset dyspnea, orthopnea, and pink frothy sputum. Her heart rate is 128/min with an irregularly irregular pulse. Echocardiography shows a mitral valve area of 0.8 cm², left atrial diameter of 5.2 cm, and new-onset atrial fibrillation (AF). Which of the following is the MOST appropriate immediate management to reduce her pulmonary congestion and improve her hemodynamics?
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