Atrial
Fibrillation
MSN 570
Dr. Goss
September 17, 2020
Group 2
Kristoffer DeGuzman Elizabeth Dederick Egzona
Dervisholli Mindy Devaney Angeline deVries Idongesit
Edet
Alma Flores George Galano Paula Luzadas
, Case Study: New Onset Atrial Fibrillation
74-year-old Female presenting for annual physical exam
℅ increased fatigue x 3 months
History Vital Signs
● Systolic HTN ● BP 120/70
(well ● Pulse 120
controlled) (@rest & irregular)
● Weight 130 lbs
Medications
● BMI 22
● Lisinopril 20 mg
● Metoprolol XL 25 (Fikes, n.d., shutterstock.com)
mg
● Aspirin 81 mg
(Case Study, 2011)
, Case Study cont: Cardiac
Workup
(CardioNetworks, (Mercader, 2019)
ECG: 2007) Echocardiogram:
● Atrial fibrillation, ventricular response 120 ● Ejection Fraction 20%
bpm ● Global hypokinesis
● Voltage criteria for left ventricular ● Normal systolic & diastolic ventricular
hypertrophy dimensions
(Case Study, 2011) ● Normal pulmonary arterial systolic pressures
Fibrillation
MSN 570
Dr. Goss
September 17, 2020
Group 2
Kristoffer DeGuzman Elizabeth Dederick Egzona
Dervisholli Mindy Devaney Angeline deVries Idongesit
Edet
Alma Flores George Galano Paula Luzadas
, Case Study: New Onset Atrial Fibrillation
74-year-old Female presenting for annual physical exam
℅ increased fatigue x 3 months
History Vital Signs
● Systolic HTN ● BP 120/70
(well ● Pulse 120
controlled) (@rest & irregular)
● Weight 130 lbs
Medications
● BMI 22
● Lisinopril 20 mg
● Metoprolol XL 25 (Fikes, n.d., shutterstock.com)
mg
● Aspirin 81 mg
(Case Study, 2011)
, Case Study cont: Cardiac
Workup
(CardioNetworks, (Mercader, 2019)
ECG: 2007) Echocardiogram:
● Atrial fibrillation, ventricular response 120 ● Ejection Fraction 20%
bpm ● Global hypokinesis
● Voltage criteria for left ventricular ● Normal systolic & diastolic ventricular
hypertrophy dimensions
(Case Study, 2011) ● Normal pulmonary arterial systolic pressures
