Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with palpitations, lightheadedness, and decreased exercise tolerance. Symptoms are described as a rapid, regular, or irregular heartbeat. No history of syncope, chest pain, or dyspnea at rest. Onset is [acute/chronic]. No prior history of similar episodes.
Clinical Examination Findings
Cardiovascular exam reveals tachycardia with a regular or irregularly irregular rhythm. Heart sounds are S1 and S2 present, no murmurs, rubs, or gallops. Peripheral pulses are palpable but rapid. No signs of congestive heart failure (no JVD, no peripheral edema, lungs clear to auscultation).
Treatment Protocol
Initial management focuses on rate control using [Beta-blockers/Calcium Channel Blockers]. Anticoagulation therapy initiated per CHA2DS2-VASc score. Consideration for elective electrical cardioversion if hemodynamically stable, or urgent cardioversion if unstable. Referral to Electrophysiology for potential catheter ablation.