Rate and rhythm
5 cases filed under rate and rhythm. Each opens on a tracing, asks what is on it, and ends with the reading worked through.
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Palpitations for three weeks, worse over the last two days
No cardiac history and no regular medication. Six kilograms of unintended weight loss since the spring, heat intolerance and a fine tremor. Referred by her GP as fast atrial…
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Monitor alarm on the coronary care unit
Day one after primary PCI to the left anterior descending artery for an anterior infarct. On aspirin, ticagrelor, bisoprolol and atorvastatin. Pain free since the procedure…
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Two days of vomiting, poor appetite and confusion
Permanent atrial fibrillation on digoxin 125 micrograms daily, bisoprolol and apixaban. Chronic kidney disease with a baseline creatinine of 110 umol/L. Started clarithromycin…
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Sudden palpitations and light-headedness on the assessment unit
Anterior myocardial infarction six years ago, treated with primary PCI to the LAD. Takes bisoprolol, ramipril, atorvastatin and aspirin. Admitted this morning with two weeks of…
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Collapse in the waiting room, three days into a diarrhoeal illness
Takes citalopram 40 mg daily for depression. Three days of vomiting and diarrhoea after a family barbecue, eating and drinking almost nothing. Given ondansetron 4 mg intravenously…
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