Atrial fibrillation in rapid ventricular response

Reference no: EM133625409

Question

Brief Hospital Course: The patient is a 84 y.o. female who has a pertinent past medical history for paroxysmal atrial fib s/p cardioversion x3, hypertension, CHF (last echo on 4/07, EF 30% with inferior akinesis), and ASCVD with last angiogram 4/07 who presented to the ED for evaluation of shortness of breath. She was admitted in 10/2007 for she same CC where it was found that she was not compliant with her digoxin and lasix. Her BNP was 1000, Troponin normal, and she was diuresed with 40 mg IV lasix x2 and was discharged on daily lasix and 100 mg Toprol XL for better rate control. The patient has been admitted twice before that, one in March 2007 for atrial fibrillation in rapid ventricular response and once in April 2007 by cardiology where she was extensively worked up including the above studies.

Reference no: EM133625409

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