BRD intermitente
Paciente feminina,73 anos, diabetica,hipertensa ,obesidade de 1ºgrau,com hipotireoidismo,apresentando episodios de palpitações e dores toracicas.Ao ECG= BRD intermitente ,em avaliação pré-operatoria - em investigação isquemia .Alguma sugestão?
Atrial fibrillation a complication of esophageal dilation?
A 58-year old woman presents with compalints of a 2 week history of short-lived palpitations, lasting 1-2 minutes every time. 2 weeks prior, she had undergone dilation of the esophagus for esophageal strictures. She also has a history of chronic immunosupression for kidney transplant, hypertension and hypothyroidism.
12 lead ECG was normal, so we proceeded with a 24-hour holter, which showed sinus rhythm with short episodes of atrial fibrillation (maximum 220 beats per minute) lasting maximum of 40 seconds. We have started the patient on beta blocker and apixiban.
Is there a chance that the previous procedure could have provoked this? If so, are there any alternative treatment options which could work better?
Cardiac tamponade in a post-partum patient
Good afternoon, I have a case which requires a multi-disciplinary brainstorm. A 36 year old, 10-day post partum (normal delivery) female presented with new onset chest pain. ECG shows sinus tachycardia and the echo reveals moderate-to-severe cardiac tamponade and mild trisuspid regurgitation. Pericardial and left pleural effusion is also present Pleural fluid cytology showed inflammatory cells with no evidence of malignancy. The culture is negative. She also has axillary lymph node enlargement detected on ultrasound but no other signs of infection. The patient declined a full-body CT. What else would you test to determine the underlying diagnosis, especially considering her recent obstetric history?
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Dear Rafael Martinez,ha 2 anos não apresentava tal alteração ao ecg,agora esporadicamente,aos esforços,apresenta dor toracica.alguma sugestao de investigação?
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As an anesthesiologist, I make the sound volume of music so low that we can listen to ECG beep.
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I send to internist to put hotter fo 24 hours with ECG
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