A 69-year-old retired teacher presents with a 1-month history of palpitations, intermittent shortness of breath and fatigue She has a history of hypertension An ECG shows atrial fibrillation with a ventricula: rate of 122 per minute and sıgns of left ventricular hypertrophy She is anticoagulated wth warfarın and started on sustained-release metoprolol 50mg/d. After 7 days, the patient's rhythm reverts to normal sınus spontaneously However, over the ensuing month, she contnues to have intermittent palpitatons and fatıgue Continuous ECG recording over a 48-hour period documents paroxysms of atrial fibriilation with heart rates of 88-114 bpm An echocardiogram shows a left ventricular ejecton fraction of 38% with no localızed wail motion abnormality Questions: 1 What disease condition of the heart does the case presented? 2 What is a paroxysm? At this stage (referring to the last condition of the patient), would you initiate treatment with an antiarrythmic drug to maintain normal sinus rhythm, and if so, what drug would you choose and why? 3
A 69-year-old retired teacher presents with a 1-month history of palpitations, intermittent shortness of breath and fatigue She has a history of hypertension An ECG shows atrial fibrillation with a ventricula: rate of 122 per minute and sıgns of left ventricular hypertrophy She is anticoagulated wth warfarın and started on sustained-release metoprolol 50mg/d. After 7 days, the patient's rhythm reverts to normal sınus spontaneously However, over the ensuing month, she contnues to have intermittent palpitatons and fatıgue Continuous ECG recording over a 48-hour period documents paroxysms of atrial fibriilation with heart rates of 88-114 bpm An echocardiogram shows a left ventricular ejecton fraction of 38% with no localızed wail motion abnormality Questions: 1 What disease condition of the heart does the case presented? 2 What is a paroxysm? At this stage (referring to the last condition of the patient), would you initiate treatment with an antiarrythmic drug to maintain normal sinus rhythm, and if so, what drug would you choose and why? 3
Chapter13: Cpt Surgery Iii
Section: Chapter Questions
Problem 6MC
Related questions
Question
Transcribed Image Text:Case study #1
A 69-year-old retired teacher presents with a 1-month history of palpıtations, intermittent
shortness of breath and fatıgue She has a history of hypertension. An ECG shows atrial fıbrillation with a
ventricular rate of 122 per minute and signs of left ventricular hypertrophy She is anticoagulated wth
warfarın and started on sustained-release metoprolol 50mg/d. After 7 days, the patient's rhythm reverts to
normal sınus spontaneously However, over the ensuing month, she contnues to have intermittent
palpitatons and fatigue Continuous ECG recording over a 48-hour period documents paroxysms of atrial
fibrillation wth heart rates of 88-114 bpm An echocardiogram shows a left ventricular ejecton fraction of
38% with no localızed wall motion abnormality
Questions:
1
What disease condition of the heart does the case presented?
What is a paroxysm?
At this stage (referring to the last condition of the patient), would you initiate treatment with an
antiarrythmic drug to maintain normal sinus rhythm, and if so, what drug would you choose and
why?
3
Expert Solution
This question has been solved!
Explore an expertly crafted, step-by-step solution for a thorough understanding of key concepts.
This is a popular solution!
Trending now
This is a popular solution!
Step by step
Solved in 2 steps
Recommended textbooks for you
Surgical Tech For Surgical Tech Pos Care
Health & Nutrition
ISBN:
9781337648868
Author:
Association
Publisher:
Cengage
Essentials of Pharmacology for Health Professions
Nursing
ISBN:
9781305441620
Author:
WOODROW
Publisher:
Cengage
Surgical Tech For Surgical Tech Pos Care
Health & Nutrition
ISBN:
9781337648868
Author:
Association
Publisher:
Cengage
Essentials of Pharmacology for Health Professions
Nursing
ISBN:
9781305441620
Author:
WOODROW
Publisher:
Cengage