The Invisible Patient

Autor: Robert A. Kreisberg, Maryella D. Sirmon
Rok vydání: 1996
Předmět:
Zdroj: New England Journal of Medicine. 334:908-911
ISSN: 1533-4406
0028-4793
Popis: Stage A 79-year-old woman who had a three-month history of near-syncopal episodes associated with transient confusion and slurred speech was admitted to the hospital. Her son, an emergency medical technician, noted a rapid irregular pulse during one episode. Paroxysmal atrial fibrillation with a rapid ventricular response was documented during Holter monitoring. Medication was not started. Response This is an older woman with recurrent spells that seem to be associated with a tachyrhythmia that was subsequently determined to be paroxysmal atrial fibrillation. Atrial fibrillation is common in this age group even in the absence of detectable cardiac or systemic disease. At . . .
Databáze: OpenAIRE