Session Type
Meeting
Search Results for Atrial Fibrillation
Abstract Number: 472
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: 68-year-old man presented during summer with two weeks of weakness and shortness of breath. He had associated chills, myalgia, arthralgia, blurry vision, dry mouth, dizziness, dry cough, and dysuria. On initial presentation, he had new-onset atrial fibrillation (AFib) with rapid ventricular response and hypotension prompting admission to intensive care. After treatment with amiodarone […]
Abstract Number: 486
Hospital Medicine 2019, March 24-27, National Harbor, Md.
Case Presentation: A 62-year-old male with a history of paroxysmal atrial fibrillation presented with hypotension and 2 week history of chest pain after an ablation with pulmonary vein isolation. Transthoracic echocardiography demonstrated a pericardial effusion. Pericardial fluid sampling revealed an elevated leukocyte count of 130,000 cells per cubic millimeter and culture grew rare strep mitis/oralis […]
Abstract Number: 513
SHM Converge 2023
Case Presentation: A 49-year-old woman of German ancestry without any prior medical history presented to the hospital with complaints of shortness of breath and right lower extremity for 2 weeks. Her examination was notable for tachycardia, notable loud systolic ejection murmur at cardiac apex. Labs revealed mild leukocytosis, elevated D-dimer, BNP, mild hepatocellular transaminitis and […]
Abstract Number: 523
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 24-year-old black male with a history of generalized epilepsy first diagnosed one year ago presented to the Emergency Department (ED) after one episode of a witnessed generalized tonic-clonic seizure. Upon arrival at the ED, he was at his baseline mental state. However, just moments later, he had another refractory generalized tonic-clonic seizure […]
Abstract Number: 549
Hospital Medicine 2016, March 6-9, San Diego, Calif.
Case Presentation: A 65-year-old male presented with sharp severe chest pain, worsened with respiratory movements. One day prior to admission, patient had catheter ablation due to persistent atrial fibrillation. He had no other medical history. Initial echocardiogram was normal and pericarditis treatment was started. Two days later, patient’s symptoms worsened: nausea and odynophagia. Repeat bedside […]
Abstract Number: 552
SHM Converge 2024
Case Presentation: A 39-year-old male with no significant past medical history presented to the ED with dyspnea on exertion, palpitations, orthopnea, lightheadedness, anxiety, 100-pound weight loss over a 2-year period, and swelling in his left lower extremity. Upon admission, the patient was tachycardic and tachypneic. EKG was significant for new onset atrial fibrillation with RVR, […]
Abstract Number: 669
SHM Converge 2023
Case Presentation: A 99-year-old female presented to the emergency department due to new onset, post-prandial abdominal pain, nausea, and vomiting. History was significant for atrial fibrillation (AFib), heart failure with preserved ejection fraction (HFpEF), diabetes, and hypertension. Physical exam was significant for chronic bilateral lower extremity edema without JVD or rales. On admission, her electrocardiogram […]
Abstract Number: 678
Hospital Medicine 2020, Virtual Competition
Case Presentation: A 73-year-old female with coronary artery disease, biventricular systolic heart failure requiring implantable cardiac defibrillator (ICD), paroxysmal atrial fibrillation (A-fib) treated with amiodarone for 2 years presented with abdominal pain, nausea, loss of appetite for 1 month. She also reported a recent ICD discharge. Initial vital signs were remarkable for a blood pressure […]
Abstract Number: 728
SHM Converge 2024
Case Presentation: 59 year old male with past medical history of paroxysmal atrial fibrillation status post radiofrequency ablation x2 who presents with fever, chills, left sided weakness, and hematemesis 2 weeks after a redo radiofrequency (RF) ablation. The patient initially presented to the outside hospital Emergency Department after developing fever, rigors, and nausea about 9 […]
Abstract Number: 755
Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev.
Case Presentation: A 72 year old female with history of chronic atrial fibrillation not on anticoagulation was brought to the emergency department (ED) after she was found gasping for breath. She was found to have undetectable blood pressure by Emergency Medical System and the electrocardiogram revealed atrial fibrillation with rapid ventricular response (RVR). Multiple attempts […]