Cardiology Case Report: Multiple Days of AFib in an Older Woman

Article

The latest cardiology case report from Brady Pregerson, MD, features a woman in her 80s presenting with complaints of atrial fibrillation for multiple days. Can you determine the correct diagnosis?

History

A patient in their mid-80’s with a history of atrial fibrillation (AF) on dabigatran and metoprolol presents to the emergency department for evaluation of a 5-day history of shortness of breath, mild leg swelling and generalized weakness. She states that her Apple watch detected atrial fibrillation for the past several days but she had family visiting from out of town and was hoping that it would resolve on its own and so she tried waiting. She denies syncope, palpitations, chest pain, fever, cough or other complaints.

Exam

Vital signs are normal. The physical exam is also normal.

An ECG is done

Computer print out for patient with atrial fibrillation

Computer read: Atrial fibrillation with premature supraventricular complexes

What is the most likely rhythm in this patient?


Related Videos
Robert Rosenson, MD | Credit: Cura Foundation
Deepak Sambhara, MD | Image Credit: American Society of Retina Specialists
Anthony Lembo, MD | Credit: Cleveland Clinic
Jonathan Barratt, MD | Credit: IgA Nephropathy Foundation
Fadi Fakhouri, MD, PhD | Credit: University of Lausanne
Helen Colhoun, MD | Credit: University of Edinburgh
Digital illustration of kidneys | Credit: Fotolia
Vlado Perkovic, MBBS, PhD | Credit: George Institute of Global Health
© 2024 MJH Life Sciences

All rights reserved.