Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with persistent atrial fibrillation (AF) lasting >7 days, failing to self-terminate. Reports ongoing palpitations, exertional dyspnea, and reduced exercise tolerance. Denies syncope or chest pain. No recent changes in anticoagulation or rate-control regimen.
Clinical Examination Findings
Cardiovascular: Irregularly irregular heart rhythm, tachycardia (HR: ___ bpm). S1 and S2 present, no murmurs, rubs, or gallops. Peripheral pulses symmetric. No jugular venous distension or peripheral edema. Lungs: Clear to auscultation bilaterally.
Treatment Protocol
Plan: 1. Rate control optimization (Beta-blocker/CCB). 2. Anticoagulation therapy (DOAC/Warfarin) per CHA2DS2-VASc score. 3. Evaluation for rhythm control strategy (Electrical cardioversion or catheter ablation). 4. Echocardiogram to assess LA size and LV function.