Atrial Fibrillation Secondary to Dehydration

Atrial Fibrillation Secondary to Dehydration

Blog Article

Abstract Introduction This resource is a simulation case of a patient who presents with new-onset atrial fibrillation with rapid ventricular response.The case serves as a reminder that a key component of treatment of patients with atrial fibrillation includes a thorough investigation for an underlying cause.Methods The nacrack.com patient has a history of a recent viral illness, including vomiting and diarrhea.Participants are expected to identify atrial fibrillation and provide appropriate treatment.Unless the patient is administered IV fluids to correct the dehydration from his viral illness, his heart rate will not respond to medical therapy.

Results This case was run successfully for emergency medicine residents and rotating medical students.It was well received and, based on feedback, served to reinforce the importance of searching for an underlying cause click here of atrial fibrillation.Participants felt that this case was very important in illustrating a concept often cited in books but not always practiced.Participants reported that though the case was most useful for junior residents, it would also help senior residents as it emphasizes the need to search for a cause of atrial fibrillation.Discussion This case stresses the importance of a thorough history, including detailed review of systems and physical examination.

Since atrial fibrillation is a commonly encountered disease in the emergency department, as well as in inpatients, this case is very educational for medical students and junior residents.