Atrial Fibrillation Case 1
A 78-year-old man with a history of diabetes attends the ED complaining of palpitations. There has been no chest pain and no precipitants.
The episode began abruptly 3 days ago. He is normally fit and well, is a non smoker and he is not on any medication.
On examination:
- Heart rate varies between 128 bpm and 147 bpm
- BP = 115/80 mmHg
- Heart sounds are normal with no murmurs
- Chest is clear to auscultation
- Clinically euthyroid
- Apyrexial
