E.W., a 76-year-old white man, comes to the emergency department after a syncopal episode at a local restaurant. He is accompanied by two friends.
Has been feeling weak for a few days
Became dizzy and fainted while awaiting his dinner
Takes one medication, a “water pill” for high blood pressure
Blood pressure 92/50, pulse 125 and irregular, respirations 24, temperature 97° F
Alert and oriented
Lung sounds clear in all fields
ECG monitor shows atrial fibrillation
What is atrial fibrillation?
What additional history should you obtain from E.W.?
Describe the risks associated with atrial fibrillation.
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