Medicine

Last updated on: July 26th, 2020

Dysrhythmias I

A 76-year-old woman is seen in the office for a routine health maintenance examination. She reports intermittent palpitations which have become more frequent over the last 2 days. She has a history of hypertension. Her pulse is 120/min and blood pressure is 150/90 mmHg. Lungs are clear to auscultation. Cardiac examination shows an irregularly irregular rhythm. ECG shows no P waves and widely variable RR intervals without a repetitive pattern. An oral beta blocker is administered as a rate control strategy and her heart rate drops to 80/min. She is averse to frequent blood tests.


Considering the risk of thromboembolism in this patient, which of the following is the best management option?

Want to continue practicing?

Subscribe to Clinical Odyssey today.
  • Enjoy unlimited access to 600+ learning modules.
  • Safely improve your skills, anytime and anywhere.
  • Get answers to your follow-up questions from practicing physicians.
Learn more ➜