Clinical Case Database / Category: Clinical Care

Arterial fibrillation: arrhythmia

Publication details

Dr. Alistair Lindsay BSc (Hons.) MBChB MRCP
Foundation Years Journal, volume 1, issue 1, p.25 (123Doc Education, London, April 2007)


You are called to the ward to see a 76-years-old lady who had a hemicolectomy four days ago. They have noted that her pulse is 156 whilst taking her observations. She feels a little bit short of breath, but otherwise reports no symptoms. What do you do next?

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Dr. Alistair Lindsay BSc (Hons.) MBChB MRCP

Cardiology Registrar
North West Thames


1. NICE guideline on atrial fibrillation:
2. ACC/AHA/ESC 2006 Guidelines for the Management of Atrial Fibrillation
3. A Comparison of Rate Control and Rhythm Control in Patients with Atrial Fibrillation( AFFIRM) N Engl J Med 2002, 1835-1833
4. A Comparison of Rate Control and Rhythm Control in Patients with Recurrent Persistent Atrial Fibrillation N Eng J Med 2002, 1840
5. Outpatient Electrical Cardioversion for Atrial Fibrillation: Effiacy, Safety and patients’ quality of life. Cardiology 2005, 26-30.


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T​he Foundation Years Clinical Cases Database is​ a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.

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