Therapy

Control the ventricular rate using ^a digoxin ^a  , preferably in combination with a beta-blocker or calcium-channel blocker. ^a  

Why?

• It slows the ventricular rate ^a   (on average by 25 bpm) ^a , but has no clear effect on the rate of cardioversion ^a
• It is not clearly effective at control heart rate during exercise. ^a
• Bolus doses are not clearly more effective than intravenous infusions ^d
• Adding a calcium-channel blocker or a beta-blocker to digoxin is more effective than using digoxin alone. ^a