Bedside Clinical Question: When to use high dose vs low dose thiamine in alcohol use disorder (AUD)?
Alejandra Alvarez PharmD (PGY1) and Joanne Routsolias PharmD
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Figure 1. Index EKG
Heart of the Matter: A Difficult Case of Atrial Tachycardia
The patient is a 52-year-old female, with a past medical history of hypertension, congestive heart failure, atrial fibrillation on rivaroxaban, and type 2 diabetes who is presenting with palpitations and shortness of breath for two days. Episodes last 1-3 minutes at a time before resolving. She has a history of similar symptoms the month prior, for which her cardiologist recommended an ablation in the future.
Emily Bovasso MD and Ari Edelheit MD
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Figure 1. Index EKG
Heart of the Matter: Sinus Node Infarction
A 59-year-old male with no known medical history presents to the emergency department with complaints of chest pain and shortness of breath for one week. The chest pain and shortness of breath is exertional and acutely worsened on the day of presentation which prompted the ED visit. Initial vital signs notable for BP 106/87, HR 45, RR 18 and oxygen saturation 98% on room air. The patient’s initial EKG (Figure 1) is shown.
Abish Kharel MD and Ari Edelheit MD
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