Bifalgorithm post
A 33 -year-old man comes to the emergency department due to palpitations for the past two hours. He has no associated chest pain, shortness of breath, or dizziness. Medical history is significant for Wolf Parkinson White syndrome with three prior episodes of supraventricular tachicarddia. The patient does not use tobacco or recreational drugs and drinks alcohol only on social occasions. He had five cans of beer at a party the previous night. Blood pressure is 100 and 2080 met Hg and pulse is irregularly irregular. Ecg shows atrial fibrillation with a rate of 100 and 80 per minute. What is the best next step in management of this patient.
A 33 -year-old man comes to the emergency department due to palpitations for the past two hours. He has no associated chest pain, shortness of breath, or dizzi…
Ideas in this flowchart
- Patient Case Analysis
- Patient Information
- 33-year-old man with palpitations
- No chest pain, shortness of breath, or dizziness
- Medical History
- Wolf Parkinson White syndrome
- Three prior episodes of supraventricular tachycardia
- Lifestyle Factors
- No tobacco or recreational drugs
- Alcohol consumption: social occasions
- Five cans of beer at a party last night
- Current Symptoms
- Blood pressure: 100/80 mm Hg
- Pulse: irregularly irregular
- ECG Findings
- Atrial fibrillation
- Heart rate: 100-180 bpm
- Management Decision
- Best next step in management
