Atrial Fibrillation - management, the challenge and new solutions 1

Published on October 29, 2015   35 min

Other Talks in the Series: Topical Talks

0:00
Hello, I'm Dr. Brian Olshansky, Professor of Medicine at the University of Iowa Hospitals in Iowa City, Iowa. Today, I would like to discuss the management of atrial fibrillation, talk about some of the challenges and some of the new solutions. But to do this, I would like to focus on a patient, a patient that you may see in practice, who has atrial fibrillation. And I would just like to say that atrial fibrillation is becoming a very large problem. It is seen in virtually any clinical practice now and there are many potential issues with regard to its management and treatment and there are many solutions that are also available. And in some instances, these solutions necessarily do not work together in a way that makes perfect sense for all clinicians. So this adds to the challenges of the problem. And I think this can be well-highlighted in the patient that I would like to show you.
0:59
Here I describe a 72-year-old female with palpitations. Her chief compliant is debilitating fatigue, she has dyspnea 2-3 times a day, mostly with exercise and walking upstairs. Her past medical history is significant for hypertension and diabetes and she takes metoprolol, 25 milligrams twice a day. And physical examination, her blood pressure is 144/94, and her pulse is 120 and irregular. Her lungs are clear and her heart is normal. There is an irregular pulse but no murmur or gallop. And the rest of her physical examination is unremarkable.
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Atrial Fibrillation - management, the challenge and new solutions 1

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