ABIM 2008 help
- Thread starter vivmeddoc
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- Attending Physician
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Patient #1 I am afraid has papillary muscle rupture leading to acute mitral valvular regurgitation. Would get a stat echo to start with.
Patient #2 I think is at increased risk of LV dysfunction. Sounds like she has mitral valve prolapse. They can have atrial fib., but I don't think the incidence is any higher than the general population. They do often experience the symptoms of palpitations.
Patient #2 I think is at increased risk of LV dysfunction. Sounds like she has mitral valve prolapse. They can have atrial fib., but I don't think the incidence is any higher than the general population. They do often experience the symptoms of palpitations.
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Oops, sorry,
patient #3 it looks like has new a. fib in the setting of known rheumatic valvular heart dz. It looks like she is hemodynamically stable, so I would anticoagulate w/heparin and try some IV esmolol to slow down the rate.
patient #3 it looks like has new a. fib in the setting of known rheumatic valvular heart dz. It looks like she is hemodynamically stable, so I would anticoagulate w/heparin and try some IV esmolol to slow down the rate.
Thanks for reply.
Patient #1 has papillary muscle rupture. And management is stat cardiothoracic surgery consult
Patient #2: I think you right on the money she had MVP and she is at risk of developing AFib, I think because of elevated LA pressure and concomitant LA dilation she is at risk of develop Afib.
yep,
you are right again
In acute heart failure due to atrial fibrillation, initial therapy must include heart rate control and anticoagulation
N
njbmd
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