A Cook County Hospital Emergency Medicine Blog for up-to-date medicine and more.
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Is weight-based dosing for IV diltiazem in atrial fibrillation better than fixed dosing in treating atrial fibrillation? And which weight do we use? Given diltiazem has a half-life of 3 to 4.5 hours, you’ll want to be sure the dose you give is right dose for the patient. Find out more in the following article.
Joanne Routsolias PharmD
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Figure 1. Index visit ekg.
Here you have a 46-year-old woman presents with palpitations. You are handed the following ECG. What is your interpretation?
Alejandro Negrete, MD
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Figure 1. Still images from point of care echocardiography of patient noting a dilated aortic root, early RV diastolic collapse in the context of a pericardial effusion, and an aortic dissection flap. Left: aortic root measuring 5.3cm; Right: early RV diastolic collapse with dissection flap
The Case:
A 40-year-old man with no known past medical history presented for evaluation of chest pain. According to the patient’s fiancée, the patient was experiencing chest pain one day prior to presentation. He continued to have chest pain and was seen at an urgent care clinic, where he was referred to the Emergency Department for an abnormal EKG and chest radiograph. While in the waiting room, the patient had a syncopal episode and was brought back to a station. The patient has no significant surgical or family history. He is a lifelong nonsmoker and occasional social drinker.
Vladimir Bernstein MD
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