Emergency Medicine Cases

Best Case Ever 7: Atrial Fibrillation

4 snips
Feb 2, 2012
Explore the intriguing challenges of treating a 760-pound patient with atrial fibrillation. Discover the critical considerations for cardioversion in high-risk cases and the debate between rate and rhythm control. Learn about the intricacies of Afib medications, the Ottawa Aggressive Protocol, and the importance of anticoagulation. The CHADS-VASc score is discussed for effective stroke prevention. The episode wraps up with vital insights on identifying and managing Wolff-Parkinson-White syndrome.
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ANECDOTE

The 760-Pound Patient

  • Dr. Atzema recounts a case involving a 760-pound patient in atrial fibrillation.
  • The patient's size posed significant challenges for standard treatment procedures.
ADVICE

Risk Assessment in Complex Cases

  • Consider risks before intervening, especially with complex patients.
  • Dr. Atzema chose not to administer certain medications due to the patient's size and potential complications.
ADVICE

Atrial Fibrillation Management

  • The podcast discusses various approaches to atrial fibrillation management.
  • These include the Ottawa Aggressive Protocol, electrical cardioversion, and rate control.
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