Comments on Clinical Cases and Images: Atrial fibrillation (AFib) with rapid ventricular ...

thax for your kind response

2010-07-06T11:26:10.746-04:00

thax for your kind response

thanks alot for your kind response

2010-07-06T11:24:51.391-04:00

thanks alot for your kind response

It is now explained in the text above and also lis...

2010-07-05T17:28:30.960-04:00

It is now explained in the text above and also listed below. Thank you for your comment.

Vital signs stable (VSS).
Well-developed and well-nourished in non-apparent distress (WD/WN in NAD).
Chest: Clear to auscultation bilaterally (CTA (B).
Cardiovascular system (CVS): Clear S1S2.
Abdomen: Soft, non-tender and non-distended (NT, ND).
Extremities: right diabetic foot ulcer with signs of infection.

please explain me the symbols used in physucal exa...

2010-07-05T15:15:14.379-04:00

please explain me the symbols used in physucal examination. because as a student of 1st year mbbs i m unable to undersrand them

Re: "withdrawing the catheter few centimeters out ...

2010-04-27T21:36:40.001-04:00

Re: "withdrawing the catheter few centimeters out could have been one of the diagnostic approaches."

Probably the best approach. I agree. Does not sound like this patient was on telemetry from the start though - there was no need to be on. She may have been placed on tele after she developed the arrhythmia.

Interesting case. Often you can tell that the pati...

2009-11-02T14:53:21.870-05:00

Interesting case. Often you can tell that the patient is having problem related to the central line placement almost immediately. The patient must have been on telemetry (telemetry leads visible on CXR), so withdrawing the catheter few centimeters out could have been one of the diagnostic approaches.

This patient will not require Coumadin (warfarin) ...

2009-01-07T17:59:00.000-05:00

This patient will not require Coumadin (warfarin) or sotalol.

Long-term anticoagualtion is done with warfarin.

Is there a less problematic long term regiminethan...

2009-01-07T17:57:00.000-05:00

Is there a less problematic long term regimine
than coumadin and sotalol? Coumadin seems to have many negatives.

I think I have learned something useful from this ...

2008-11-24T09:24:00.000-05:00

I think I have learned something useful from this blog.

really good...learned a lot...keep it up

2008-11-24T08:37:00.000-05:00

really good...learned a lot...keep it up

Interesting presentation of transient atrial fibri...

2008-10-12T10:51:00.000-04:00

Interesting presentation of transient atrial fibrillation with rapid ventricular response due to a rare cause. It is not uncommon to see such atrial arrhythmias during cardiac catheterisation when the catheter is manipulated in the right atrium. The case also illustrates the principle that for sustaining atrial fibrillation once initiated, needs a large atrial mass. Sometimes atrial fibrillation induced by catheter manipulation needs cardioversion for correction, especially when the atria are grossly enlarged and diseased.