The authors respond “Metoprolol vs. diltiazem in the acute management of atrial fibrillation in patients with heart failure with reduced ejection fraction”

Thank you for the interest and feedback on our manuscript [1]. We disagree with the recommendation of a digoxin group being a more logical choice. The letter mentions digoxin being preferred in “patients with marked congestion who nonetheless have few symptoms at rest.” They also go on to mention considering digoxin or amiodarone in patients with hemodynamic instability. The referenced guidelines recommend digoxin in patients with marked congestion, which we specifically excluded those with decompensated heart failure to allow for better assessment of exacerbation symptoms [2,3].
Source: The American Journal of Emergency Medicine - Category: Emergency Medicine Authors: Source Type: research